Maybe Steven doesn't want to talk right now, especially about that. Are either of them okay, really? That's... a difficult question. Marc is essentially talking to an imaginary friend come to life, dealing with... so much horror in his life. He needs help, but--

Marc doesn't seem inclined and Steven isn't sure how he'd react if he marched them right into a hospital himself. Probably not well. "I think you've had a rough time of things, Marc."

That's the most tactful answer he can think of. It works, doesn't it? Hopefully.

"That doesn't mean it was good for you, Marc."