Dr. Hill is seen as always, standing by the window of his office. His office has become noticeably more decrepit at this point, where the walls begin to decay and rusty chains hanging around, and depending on your choices in the last test, objects in the office will change to play on your fears.
The next test he gives is similar to Chapter 1, in which you pick from pictures in a set, except this time they are pictures of all the characters currently alive that have been introduced in the game so far. Claiming this is an exercise in honesty, Dr. Hill tasks the player to pick the character in each set they like the most: Sam or Josh, Emily or Matt, Ashley or Chris, and Jess or Mike. The characters not preferred from each set then face off against each other, with the ones from the first two sets pitted together, as is the case for the latter two sets as well, and the player has to, once again, choose who who likes more. Then, the game will deduce which two characters the player likes the least, and Dr. Hill will let them choose the one they dislike most. If it ends up being anyone but Josh, he will defend them and give possible reasons for his hatred. If Josh is picked, he simply tells the player not to be too harsh on him, as he has gone through hard times, but that he 'knows this already.'
This exercise affects Josh's relationships with the other characters in-game. In the first 4 sets, the person the player picks to like the most will gain a slight relationship boost with Josh, while the person that was not picked will have their relationship with Josh slightly decrease. Additionally, the character that is most disliked will have their eyes crossed out on the Photos of Friends during Chapter 6.