Nagisa becomes increasingly bedridden due to morning sickness. Nagisa wants to give birth at home, so Sanae introduces Yagi, a midwife who is to assist in the delivery. Sanae later tells Tomoya that giving birth will be difficult because of Nagisa's weak physique and may even put Nagisa's life in danger, so they might have to choose abortion. However, Sanae leaves the choice up to Tomoya and Nagisa. Nagisa learns of her mother's worries, but she decides to go through with the birth. Akio takes Tomoya to a meadow and tells him more about the day when Nagisa nearly died. Akio carried Nagisa to the meadow and prayed for her life, and Nagisa miraculously regained consciousness. Akio tells Tomoya that while many painful and difficult things will happen, he and Sanae will always be there for Tomoya and Nagisa since they are family. Nagisa and Tomoya take a walk by the river and decide on the name Ushio for their child.

Winter comes and Nagisa enters the final months of her pregnancy, but she becomes sick again. On a snowy day, Nagisa goes into labor two weeks early and her family, unable to transport her to a hospital in time, is forced to have her give birth at home. After an excruciating process, Nagisa successfully gives birth to her daughter, Ushio, but the delivery and her illness combined take their toll on her and Nagisa dies moments after seeing her newborn baby. Tomoya, who has stayed by her side for the entire time, does not take the sudden turn of events well. His dream of raising their daughter together as a family is shattered.

The girl in the Illusionary World is dying in the snow, and the robot regrets having her take the journey. The girl can finally hear the robot, and tells him that they once existed in another world. As she hums the tune of "Dango Daikazoku", the Illusionary World starts to collapse. As the robot is swept away, the girl calls him "Papa" and disappears with the world. Back at the hill, Tomoya calls after Nagisa, and she is glad that he did so. Nagisa brings Tomoya through time, and together the voices of the robot and Tomoya note the end of his long journey. Tomoya awakens to Ushio's birth, but this time, Nagisa miraculously survives. After Nagisa watches Tomoya give Ushio her first bath, she and Tomoya see that countless orbs of light are floating throughout the city outside the window. They both sing to Ushio and from then on, Tomoya and Nagisa experience a happy life raising their daughter together, finally free of their cursed fate.