Anna claims to be fine and lies to Miller about the reason of her disappearance, claiming her radio was not working due to its battery coming to contact with water.
Katya then says there was an anti-air defense unit in her village during the war, who received an experimental drug, which proved to be very powerful at treating similar conditions, and that she will try to look up the cure's name in her mother's notes.
Depending on the player's actions, Artyom either survives by receiving a complete blood transfusion from the members of the crew the good ending , or succumbs to radiation poisoning, if there are not enough survivors to donate the necessary amount of blood the bad ending.
Anna and Artyom look at each other as the train leaves the station, but say nothing more - depending on what happens next, it may be the last time they see each other.
She tries to rescue him but the truck goes out of range, preventing her from rescuing him.
The reason might be that both and Artyom knew that it was virtually a suicide mission and did not want Anna to die.
Anna and Artyom are reunited at the on the surface, where she aids him in taking down the mutant while the rest of the Rangers kill off the remaining before they can attack Artyom.
In the good ending, she is seen standing beside Artyom, who had just been promoted to the commander of the Ranger Order to replace Miller, and the couple is expecting a bright future at Lake Baikal, where they will raise their kids, far from dangerous irradiated cities full of mutants and hostile humans.