What happens at the end of the main quest?

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Where does the story pick up? Just before the point of no return?
Also, are there any side quests, gigs etc that are closed permanently by progressing in Act 3?
 
As long as there is a save point right before going into the building/elevator, you will pick up right at that spot with a few extra goodies in your bag (or ripperdoc).
My last playthough I saved the final mission till last then that was the end of that game, and started a new one.
 
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