The Descent was released in North America with approximately a minute cut from the end. In the American cut, Sarah escapes from the cave and sees Juno, but the film does not cut back to the cave.
In the 4 August 2006 issue of Entertainment Weekly, it was stated that the ending was trimmed because American viewers didn't like its "uber-hopeless finale". Lionsgate marketing chief Tim Palen said, "It's a visceral ride, and by the time you get to the ending you're drained. [Director Neil] Marshall had a number of endings in mind when he shot the film, so he was open [to making a switch]." Marshall compared the change to the ending of The Texas Chain Saw Massacre, saying, "Just because she gets away, does that make it a happy ending?"
The North American Unrated DVD includes the original ending. Recently, the film has been airing on Canada's The Movie Network, which has the original ending. In contrast the American Syfy Channel as recently as October 11, 2009 broadcasted the recut version of Sarah truly escaping with Juno's specter appearing besides Sarah in the SUV.