Hi! Sorry I'm late, but the answer is 'It shows that the speaker will live with a misery that will never leave him'. I know this because I just took a k12 quiz with this question, and this was the correct option.
A shift in thought can be indicated by the use of C. an em dash.
An em dash is used to set of an interruption that is closely relevant to the sentence but is not grammatically part of it. These set of interruptions can be found in a list, illustration, restatement, shift in thought or tone, summary, or dramatic point.
Semicolon (;) is used to connect independent clauses.
Ellipses (. . .) are used to indicate that material is missing in the sentence or passage.
C - Pass
I did this assessment as well ')
I'd like to say its a conversational(<span>appropriate to an informal conversation)</span> and inquisitive(curious or inquiring) tone