Maybe Kevin was lying about the pacemaker? we never do see it. Maybe they were all dead (Nora, Kevin Lori)..
But really,The entire theme of the last episode was about telling the truth or lying. The entire series came down to what was real and what we want to believe.
Some don't like endings that open it up to your own conclusions. For The Leftovers, there was no other way they could have ended it.
Had to think on it a few days, but loved it
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