As the song progresses, Stan's mental health deteriorates, his letters becoming more deranged. He makes several references to violent and self-destructive behavior, including driving drunk while pregnant with his girlfriend. Eminem tries to reason with Stan and get him to seek help but in vain.
In a tragic twist, the song climaxes with Stan driving his car, with his pregnant girlfriend in the front seat, off a bridge into a river, killing both of them. Stan's final letter, written before the incident, expresses his belief that Eminem is the only person who can save him, but as the song concludes Eminem realizes that Stan has gone too far and there's nothing he could do to prevent the tragic outcome.
The song explores the consequences of idolizing celebrities, the dangers of obsessive fandom, and the impact it can have on both the fans and the celebrities they idolize. It also highlights the importance of seeking professional help for mental health issues and the potentially tragic results that can occur if left untreated.