only options are OE and ascension iirc.

Just confirmed Far Shore works just fine for an ascension ending if anyone is worried about that. As for a cure item I haven’t seen anyone find one nor have I found one. Might need to start a new game myself to find it if there is one. Not to go into detail, but both endings while tallying your score don’t end your run. If you want a bit more detail after ascension you can play on without your pup, sort of a definitive “cure” Also committing the “sin” (joking it’s all available through GitHub) of poking around the mods folder It doesn’t appear to have any other added resources items/maps/cutscenes/character profiles suggesting a cure, but I couldn’t find all the dialogue used outside of pearls so unless they wanted it to be extra secret things seem grim for pearlpups fate or not depending on your take of this universes “afterlife”