This moment of revelation is the most painful moment for Gimpel in the whole story. He has managed for twenty years to preserve his faith in his wife only to find out it was totally misplaced. What’s worse, the smile on Elka’s dead face seems to suggest that she is pleased, or at the very least amused, that she has so thoroughly tricked her husband. Looking at her, it appears to Gimpel that, for Elka, this was the whole meaning of her life, to be cruel and deceitful. Yet there are signs here that Elka does feel remorse. She begs for Gimpel’s forgiveness and expresses the wish to somehow cleanse herself of her sins, to “go clean to her maker.” While it is unclear how sincere she is, or whether she has any chance at earning the forgiveness she claims to desire, the suggestion that she repents is definitely there. Perhaps the tumor can be taken as symbolic of the evil that has become lodged in her and that she wishes she could remove from herself. And her smile, regardless of how Gimpel perceives it, can be read as indicating her joy at having repented.