Ishtar retreated, but not completely, because Pale Rider had unleashed its ultimate move.
Xiao Sha and Father Hansa successfully caught Jester Karture, but Jester Karture was Tsubaki's friend.
So Pale Rider activated its Noble Phantasm: "Come Forth, O Road to the Underworld, Come Forth."
Rank: EX Type: Anti-World Noble Phantasm Range: - Maximum Targets: -
A Noble Phantasm that created a vessel to bear the result it brought—namely, "death"—and, starting from its Master, formed a bounded world simulating the Underworld.
Since it was influenced by its Master's impressions, it could take the form of a typical hell or heaven, or even a completely empty space that shattered souls.
In an emergency, it could pull targets, bodies and all, into the bounded field.
It would originally have been much smaller in scale, but after combining with the land itself and other factors, it now created a bounded field far wider than under normal summoning conditions.
Jester Karture was dragged into the bounded field, along with everyone near the hospital, including Ishtar, who had not retreated very far.
After entering the bounded field, everyone's positions were scrambled. Xiao Sha, who had been pursuing Jester Karture, also lost her target. This was both the bounded field created by Pale Rider and a world constructed from Tsubaki's dream.
Everyone was pulled inside, except Alcides, who was rejected. It was unknown whether that was because Black Mud possessed him, or because Pale Rider regarded him as an enemy and refused to bring him in.
About five minutes before Pale Rider released its Noble Phantasm, Jack the Ripper, who had seemingly been defeated and left the battlefield, rejoined the fight.
Together with her Master, Flat Escardos, and John, the police officer strengthened by Caster Alexandre Dumas, she injected Hydra's deadly poison into Alcides's body.