Falling; The Middle, or the Beginning?

If I fall into the real world, I'll be alone...

If I fall into the nightmares, I'll be in eternal pain but I won't have to miss you...

In the end, my two choices are really very similar. Only in one, I'll still see you. So tell me.

Do I fall into a coma again, or do I take this living hell? Whatever I decide, I may never wake...