From recent information, I've gathered a list of insight on the LS's death. I've noticed that many people here don't seem to understand exactly what happens or why.
-LSs don't die in gunfire because that would affect gameplay choices, it would break the game, because one simple mistake would stop you from making the Harvest/Rescue decision.
-It's been pointed out in an interview by IGN that they want to make the LS Harvest/Rescue sequence as suggestive as possible, they wanted to express as much that was needed to get the point across (thus, no cartoony cutscene of breaking a little girl's neck).
-When you rescue the LS, she will be turned to a normal girl again and trot off to the nearest vent.
-When you harvest the LS, she will disappear from the screen afterwards so as to not show the cartoony gore, as it would just be unrealistic and plastic, no emotion.
-Doctor Tenenbaum will most likely remark against your actions of harvesting the LS, attempting to make you feel guilty for your actions.
-You won't hear the LSs in either process, which I'm taking an estimated guess that because of this tragic and emotional act (as the girl screams, "NO!" at you), you become nauseous and dizzy, your (character in game) in shock.
-PCGamer UK reviewer Tom Francis has cited that there's a later sequence in the game that forces guilt upon you for killing the LSs, "BioShock's main plot isn't about the Little Sisters, but it does have a sequence that gave me a Schindler's List pang of guilt for killing them all (what? I needed the Adam). And Schindler's List isn't a cultural touchstone that comes up a lot when talking about games. There's a richness to BioShock's fiction, a conflicted complexity to its characters, and a humanity in its themes that we're wholly unaccustomed to in gaming." So killing the LSs will end up to be a very emotional and thematic experience.
-There is a difference between the rewards you attain... Harvesting the LSs will give you all the Adam possible. Rescuing them will give you some Adam, but not as much, later on in the game you will get another reward just as worthwhile as all the Adam.
They're going for an emotional game, showing ludicrously fake and plastic gore scenes of a dead little girl wouldn't provide anything but detachment from the game how unrealistic it would be. There is a scene later in the game that'll force guilt for what you've done, confirmed the PCG UK reviewer Tom Francis. If the previous death scene was still in the game, it would be so outrageous and phony, it would just confirm the fact that you're playing a videogame, immersion would be lost. Not only that, but it would get extremely repetitive, harvesting the LS (with the scream and snap) would have lost its touch by the end of the game, the same sequence and sounds over and over again, also reinforcing the fact that you're only playing a videogame. Sure, hearing her scream and the snap of the neck the first time can be very emotional, but by the 5th time, you know exactly what happens, it's just a matter of getting past it. So to get away of standard videogame repetition, there will be one lone sequence that'll stick with you for a long while, something I highly doubt you'll forget.



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