YOU SAID:

He doesn't recognize his friends or family, and he doesn't even recognize himself in the mirror.

INTO JAPANESE

彼は友人や家族を認識せず、鏡に映った自分さえも認識しません。

BACK INTO ENGLISH

He does not recognize his friends, family, or even himself in the mirror.

INTO JAPANESE

彼は鏡に映った友人、家族、さらには自分さえも認識できません。

BACK INTO ENGLISH

He cannot recognize his friends, family, or even himself in the mirror.

INTO JAPANESE

彼は友人、家族、さらには鏡に映った自分さえも認識できません。

BACK INTO ENGLISH

He cannot recognize his friends, family, or even himself in the mirror.