While he's back at his desk, the child crying is indeed the same one (the same cries, at least) as the one that had his parents taken from him. I believe the director intentionally left the ending open for interpretation. It could either mean Martin concocted the whole thing in his head, or he'd gotten away with it & was back at work.
If it was all in his head, it would explain why he was still infatuated with the original movie. It doesn't seem like someone who had gone through all of what he did, far surpassing the sickness level of the thing that inspired it, would find the original movie that enticing anymore. Why would he still sit there drooling over The Human Centipede, after he'd actually had the actress in it, who he was so infatuated with, under his own control (more or less)? That just doesn't seem likely. In real life, people who torture then kill their victims keep on doing more & more extreme things as the original excitement begins to become commonplace.
If it was all in Martin's head, it would also explain why he doesn't get caught or suspected of anything by his (nonexistent in the movie) boss or authority figures. Everything he does is recorded by the parking garage video cameras. Even if Martin turned them off or deleted the content of him abducting people, his boss would still wonder why the nightly footage was coming up short, and missing big chunks of time (there is a timer on those tapes). If all those people disappeared at the time when they would have been in the parking garage, the tapes would no doubt be gone over by police, eventually. He would undoubtedly get caught shortly, even if he made an effort to hide everything & clean up (like all the huge blood splatters where he hit people with the crowbar, or shot them).
Martin was supposedly mentally slow, so maybe he really did do all that & just went back to his job as if nothing happened, and likely got caught shortly thereafter. He apparently left the kid crying in the car, as indicated by the crying at the end, and that wouldn't sit there long without someone else noticing that there were bullet holes & blood everywhere as well. He killed far too many people to cover it all up, including his mother & the doctor, and the guy in the car with the dr. While he's sitting there in the booth in the final scene, he doesn't have the wounds on his head that he had, either, so it makes you wonder how much time has passed. Apparently the kid is still in the car crying, but Martin is all clean & healed-up. Who knows, maybe the kid crying is just in Martin's head, too?
It seems viable either way.
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I can't understand your crazy moon language.
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