We all handle grief in different ways. For Madoka and Sayaka, Mami’s absence is like a stifling weight in this episode, pushing each of them in their own unhappy direction. They now know the truth about magical girls, and have some idea of the actual bargain they are making. But knowing the danger won’t be enough to save them from themselves.
The episode opens with Sayaka running from her grief, running to the boy who gives her some sense of stability. But he’s not there for her, and so she can’t escape. Shots of the hospital frame Sayaka as trapped within geometrically impossible rooms with nearly vertical vanishing points, emphasizing how unreal and alienating her world now feels. Like with the witch worlds, Shaft’s tendency towards stark, interpretive backgrounds fits here – in the wake of loss like this, you won’t necessarily recognize the world around you as a place you know. Shots on the elevator position Sayaka as trapped, as her melancholy leads her to blame the same old target – herself.