Alan Wake was involved in a major Altered World Event in Bright Falls, Washington in September 2010. According to FBC files, the AWE was caused by a Threshold which enabled Wake's subjective perceptions to alter the local reality. Wake's wife Alice was trapped in the Threshold during the AWE; she was freed when the AWE ended, and Wake reportedly dove into the lake and disappeared. The Bureau was unable to recover his body, though he was listed as a parautilitarian and potential Prime Candidate.
On August 27, 2019, the Bureau discovered the Typewritten Page Altered Item, which was slid under the spiral door in the Oceanview Motel, seemingly originating from Wake. The Oh Deer Diner Coffee Thermos is also associated with Wake's AWE. Jesse Faden encountered an apparition of Wake after coming across the Typewritten Page in the upper levels of the Panopticon. Wake, reading the page, reflected on being away for ten years and lamented his simultaneously fictional and real existence.