This is just not going to go anywhere, I'm sorry. The questions that were asked were all plot points that were planned to be revealed, and since I had a good idea of where everything was going, I have detailed out the basic plot line of what would have happened should the story have continued. Hopefully you'll be able to imagine all of this in its full grandeur.

As of the last chapter, Germany and Italy have made up, and for now they would go back to being cute and cuddly when not having episodes. During his next session with Russia, Germany would be advised and given permission to use the on site gym to get all of his extra energy out and to have something to focus on (not sure if this is a thing or not, heard some hospitals have them). All he does is wander around and zone out when he has nothing to do, and this also gives him a hobby, this is also supposed to a nod to canon Germany being buff, a teenaged AU version of him probably is nowhere near that build just yet.

This would conclude the first half the story, with the second half diving into the mystery of Italy. Germany and Italy as a relationship would probably have developed onto the point of actual mostly-committed relationship. Kiku is also discharged from the hospital, good for Japan, but bad for Germany when he needs to know what is happening with Italy later on. What get's the ball rolling is when America shows up as a new patient of the teen ward, he would be in for an eating disorder (I've honestly loved these kinds of fic and I always thought that there should have been more of them).

America and Germany would probably end up being friends and bonding over the experiences that led to them ending up in the hospital, they both went to the same high school and were in the same graduating class, but never really interacted until now.

When visiting day arrives, Germany and Italy would wait for Prussia to show up, he comes but also brings a friend since that friend now has someone to visit in the hospital too, Canada. This would bring subtle PruCan, but that is not the point of this. Canada showing up is the factor that sets Italy off. After he mostly likely storms off after a drastic mood change, Canada reveals that he was Italy's roommate way back when Italy was freshly committed, Canada showing up a few months afterwards. They became very good friends, maybe even being slightly romantic, Canada getting the most out of this and eventually discharging. Italy felt betrayed and hurt that Canada left him so easily, and is most likely one of the more bigger reasons for why he still here.

With Canada triggering all of the negativity he's tried to forget about, he begins to spiral downward, contrasting to Germany, who has only be going up, and possibly getting an early release. Out of fear of losing Germany the same way he lost Canada, he tries to tear the emotional ties before Germany "can". During a conversation/argument on the topic Italy has a violent outburst, most of which directed at himself, leading to him being heavily medicated and strapped to a bed. When Germany tries to visit he overhears that this is probably the last straw for Italy, and the doctors are to make a decision if he needs to be moved to another facility for even more permanent guests.

When Germany visits Italy its all down to the final reveal. He comments that after years of dealing with his problems, that now is the actual rock bottom. With this he explains all. It starts with being young and oblivious, but cracks when he overhears his brother and the people he thought of as friends talking and joking of stupid and useless he is. The more he thinks about it the more it consumes him, and the more he gets sucked into the darkness of his own mind. This eventually leads to self-harm, and the eventually first suicide attempt. He arrives to the hospital the first time, eventually meets and loses Canada, inducing further feelings of worthlessness, people being untrustworthy, and never being good enough. This also leads into a diagnosis of borderline personality disorder and major depressive disorder. He eventually gets discharged only to attempt suicide again within a week. Once again turning back up at the hospital and for a much longer time. He eventually get's discharged again only for the same to happen again. Treatment at this point is very difficult as Italy is very good a putting up a good front, and is uncooperative, as they would like to think he is getting better, but will most likely hurt himself upon discharge again. Italy even confesses that on the very day that he and Germany first met, he was planning on how to try and kill himself again should he ever get trusted enough to be discharged again. At this point though, with no one trusting him, it has been brought up other doctors and suggested by himself Russia that if he doesn't try it may be in his Italy's best interest that he should be moved to another hospital, though this would mean permanent hospitalization.

Germany begs for him not to give up and give in, but Italy has no response to him. A few days later he gets released to the rest of the hospital again, and Germany has vowed to try and do whatever he can to amend the situation, but the fact that his own release date is now looming ever so closer. I'm honestly not too sure of what happens between this point and the ending. I'm not really sure of what one would say or do to try and fix this situation, maybe you'll know. But I imagine that after a very good conversation, Italy would leave and later finally give a phone call to home.

Romano and Rome would probably show up very quickly to the hospital, and due to the special nature of Italy's case, be given visitation. Those two and Germany finally give one last hurrah to try and fix things with him, of course this doesn't magically solve it, but it opens the door to him to finally accept recovery. Soon after this Germany would be discharged, leading to a heartfelt farewell, though Germany promises to visit.

Germany would go home and confront his father, who still won't pay for Germany to go to culinary school. He accepts this and makes plans to move in with Prussia and get a job so that he can save up for school. It may not happen soon, but he will get there eventually. He may have a few slip ups every now and then with anxiety and self-harming tendencies, but is mostly moving on.

The story would end with an epilogue set from about 8-12 months after Germany's release. With Italy now accepting support from his family, the hospital, and Germany, he is now being released for the final time. Now that both are free from the darkness of their pasts, they can move on to the future together.

As you can tell, this is a lot, probably another 25-30 chapters worth of story that I just don't have it in me to put out there, but I really did have plan, but this was all just too daunting for me take on when I really don't care about this fandom anywhere. I hope that this is will satisfy you, thank you for reading. If you have any further questions leave them in the review and I'll either pm or making another chapter answering if there are enough.