The game ends immediately when all of the Characters in one family are dead — that is, when they all have Untimely Deaths on them.
When the game ends, each player adds up the Self-Worth scores of all their dead Characters. (Each Character’s individual Self-Worth score is the sum of the point values currently showing in its stack.) If the Porcelain Throne is controlled, that player scores an additional −30 Self-Worth Points.
The player with the lowest total — the one whose family is the most miserable — wins!