The entire narrative of "Mob Psycho 100" builds towards Mob's final acceptance of his alternate personality, known as ???%. This entity is revealed to be Mob's raw, instinctual psychic self, which took control during a childhood incident where he accidentally hurt his brother, Ritsu. This trauma caused Mob to repress his emotions and create a psychological lock on his own powers. The final arc is triggered when Mob is hit by a car on his way to confess to his crush, Tsubomi. The trauma unleashes ???%, who goes on a destructive rampage, not out of malice, but with the singular, childlike goal of getting to Tsubomi.
A major reveal comes during the final confrontation: Reigen Arataka, Mob's mentor, finally admits to Mob that he is a fraud with no psychic powers. He does this out of a desperate, genuine love for Mob, and this act of ultimate vulnerability is what finally reaches Mob's consciousness inside the rampaging psychic storm. It's also revealed that Mob always knew Reigen was a fraud on some level, but followed him because he recognized Reigen was a good person. Aided by the spirit Dimple, who sacrifices his own god-like form to help, Reigen's confession allows Mob to confront and merge with his ???% self. He learns that this hidden part of him wasn't evil, just scared and repressed. After integrating himself, Mob confesses to Tsubomi, who gently rejects him. Instead of his emotions exploding, he is able to process his sadness and cry, a huge step in his emotional growth. The series ends six months later, showing a happy, well-adjusted Mob who is vice-president of the Body Improvement Club, surrounded by friends, and finally at peace with every part of himself.