The game is called Inside because its theme reflects processes that take place inside the human body.
IMO it was all a metaphor for conception / a failed birth. The vaginal tract at the end of the game (and the way it is ruptured by the player) and the amount of damage the miscarriage did to the "body" as it exited towards the end of the game was pretty plain to me. That being said, I think things go a bit deeper.
I believe the player character is actually the foreign entity that goes inside the body and actually causes this miscarriage to occur in the first place, be it a virus or disease of some sort. Maybe even a Plan-B or some sort of actual human intervention. The amount of parallels I could draw between the things in this game and the processes that take place within the human body are ridiculous, such as the "authority" figure(s) in the game AKA the immune system constantly seeking to eliminate the player if we show ourselves or behave out of line when being observed. I could go on for hours, trust me. The ending was the conceptual "disposal" of whatever remained of what was GOING to be a baby, ejected from the body and left basically dead on the shores where nobody cares about it anymore.
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