Last Breath was replaced by Betrayer, Tears in The Rain was replaced by Hard-Mode and Reimu was replaced by Elma.

This takes on the fight with the snowstorm, until the encounter of the two sanses and Elma joins in with some judgement of torture.

Elma was shy and afraid before the player kill Carl after what happened.

Undertale: Betrayer by Avranik. (Sans)

Undertale: Hard Mode by Toby Fox. (Sans)

Pretty Blood by littledeadlything. (Elma)