You stumble up to Tommy Twelve-Toes and aim your gun at his head. Actually, you try to. Your hands are shaking and your eyes can't focus. Even at this short range, you first shot misses, leaving a tiny crater in the pavement. You close your eyes and concentrate, and somehow that does the trick, ending Tommy's life with some certainty. With your objective achieved, you collapse on the ground, bleeding out and eventually dying.