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Mama jumps off the cliff with just Lilly, and upon hitting the branch, Mama and Lilly turn into a shower of butterflies. The movie ends with Victoria realizing that one of the butterflies watching over her is in fact Lilly, perhaps referencing a ghostly regret of Victoria not going with her.
It is a terrifying movie if disfigurement makes you squirmish. However, if you are prone to that, it will not be as scare (disfigurement is the main scare component). BE WARNED: this movie features some creepy and frightening disfugurement that could give a child nightmares for a while.