Welcome to IGN's Walkthrough for Heavy Rain. This page contains info on Chapter 40 of the game: On the Loose.
Capture Alert: Ethan can be imprisoned for the rest of the game in this chapter.
Ethan has returned from the fourth trial. He's sitting down beside the window, dealing with his personal nightmares, waiting for any possible gunshot wounds to wear off, or just trying to digest that horrible stuff Madison has bought for him last time. Blorg.
Speaking of Madison, if she has survived the encounter against the evil doctor, she will show up again, giving Ethan a chance to get romantically involved with her. If she has died, he will need to struggle to get up on his own.
To earn the Unforgivable Trophy, choose to kiss and make out with her, check her jacket, and then choose to distrust her. Or, to earn the Lover Boy Trophy, choose to kiss and make out with her, check her jacket, and then choose to forgive her.
Regardless of how things go, the police forces have arrived outside, and they're coming to catch Ethan. If Madison is the one to see them coming, she can give Ethan a heads-up by calling him with the reception room's public phone on the wall. (His room number is 207.) Or, she can just ride away on her bike.
In any case, Ethan has a chance to dodge the cops in a lengthy run, mostly across the balconies and the rooftop. To earn the Escape Master Trophy, escape from the cops when they raid the motel, choosing to jump off at the end and to carjack the taxi cab.
Or, to earn the Hands Up Trophy, have Ethan get busted by the cops. Keep in mind that if Ethan gets caught here and has already been arrested before (after the third trial), he will remain in jail for the rest of the game.
If you save game with Ethan arrested here, you can unlock a gold trophy later on.