The beginning of The Conception
The Conception is an apocalyptic event which is the central focus of Shin Megami Tensei III: Nocturne. As is implied by its name, The Conception's purpose it to bring forth a new world, with new laws determined by Reason. The Conception is set in motion by Hikawa who strives to create a world of perfect stillness. After being set in motion, everyone outside of the hospital is killed instantly and turned into Magutsuhi. Tokyo is uprooted and twisted into a spherical world known as Vortex World. The results of the conception are determined by the actions of the Hito-Shura.