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Before this scene, we saw Max struggling. We could guess what she was struggling with, but it is not until Vecna takes Billy's form and abuses her with her own self-doubt, grief, and guilt that we know exactly what she's suffering.
Given that Max's consciousness lives on in Vecna, in a familiar fashion for Stranger Things, Max could be used as a mind trap for Vecna.
Season 4 ended with Max in a coma, blinded and with broken bones. She died for one minute, before Eleven (Millie Bobby Brown) revived her — but series creators Matt and Ross Duffer reveal Max was originally not going to come back to life at all.
The fan-favorite character ended the season in a coma with her bones broken and eyes blinded at the hands of Vecna. Max technically died for one whole minute before Eleven revived her friend, but Eleven's powers weren't enough to bring Max fully back to life.
Vecna holds off Eleven long enough to brutally attack Max in his signature style—she levitates, her eyes go white and bleed, and he snaps her limbs. Eleven regains her strength and pushes Vecna off before he can complete the job, but the damage is already done.
In the final moments, Max is in a coma. With that said, if Max were to make a full recovery, would she be blind? Well, based on the injuries she sustained, it's likely Max will be blind going forward.
If Vecna can overwhelm their victim with fear, and keep them from resisting, their fate is almost certainly sealed. In the real world, he makes the victim levitate while in their trance, before snapping their bones and neck, and crushing their eyes.
After serving as bait for Vecna, she becomes his “final sacrifice,” getting her bones broken and losing her vision during a low point. Once the fight is over, she dies in Lucas' arms, unable to see or feel anything as Eleven looks on from her mindspace.
Physically, yes. Lucas tells his friends that Max is in a coma, and we see her wearing casts on her arms and legs. The Duffer brothers have also confirmed that at the end of Season 4, Max is alive yet "brain dead, blind, and all of her bones are broken." The big mystery is where the redhead is mentally.
Once he takes control of the mind, he traumatizes them by showing the visions of their dark past. He takes them to unknown places and gives them a glimpse of himself. The pain of his victims doesn't end here. Every single one of his victims experiences nose bleeding and severe headaches as well.
Through the window, Max saw her real body levitating above the cemetery, her friends panicking on the ground below. Bracing herself, Max pulled at a vine in Vecna's neck, causing him to writhe in pain and accidentally release her from the vines' grasp.
Vecna lives in the Upside Down and preys on people's past traumas and guilt. The monster curses its victims, making them relive their trauma in progressively more gruesome ways until it violently kills them.
The reason that Eleven couldn't find Max is actually pretty simple -- Max had already died. That means her soul had already been absorbed into Vecna's consciousness. So, while Eleven restarted Max's heart and brought her body back to life, she was trapped inside of Vecna's hive mind.
Vecna's obsession with time appears to be linked to his hatred of humanity. He views time as a human imposition on the natural world; an attempt to impose order on nature.
Patrick was targeted due to his father's abuse of him. Finally, Vecna targets Max for her trauma from witnessing Billy's death and uses Barb's (Shannon Purser) death as a way to use Nancy.
While the group battled the Spider Monster with fireworks at Starcourt Mall, Eleven reminded Billy of his humanity; her words prompted Billy to sacrifice his life to save Eleven's, which horrified and traumatized Max.
Front and centre of this storyline, however, is Max (Sadie Sink), who, after her brother Billy's (Dacre Montgomery) death in the previous season, is suffering from grief and guilt, and the trauma of witnessing his death.
Refusing to allow Max to die after their battle with Vecna, Eleven pulls out the stops to save her life. As Lucas begs Max to stay alive, cradling her in his arms, Eleven uses just enough power to get Max's heart beating again.
Vecna draws power from sad and angry memories and that is the main reason he targets traumatized teens. Those teens are a well of power just there to be absorbed. This is not just a theory, Vecna himself told Eleven about the power that angry and sad memories hold.
Realizing he had tremendous psychic power, he haunted his family with visions before ultimately killing most of them. His father was framed for the murders and locked away in a mental hospital as a disturbed serial killer. Henry then found himself in the care of Brenner, who decided he wanted more kids like the boy.
What was Chrissy's Trauma? Chrissy's life appears to be free from flaws on the surface, but in reality, she is struggling terribly to conceal her depression and self-image stemming. She was struggling with these issues, which resulted in her developing an eating disorder due to her mother's verbally abusive comments.
Though they're clouded with cataracts, Vecna in Stranger Things has both of his eyes.
Speaking on the Happy Sad Confused podcast, the brothers confirmed that Max is "braindead and blind and all of her bones are broken".