She got punched right in the Soul Gem. Is it any surprise that she's on the ground?
Oohー!Sayakaー!!(lolAa...Ufufufu...Madokaー!Sayaka-chan, I'm sorry for being so weak...But the tummy punches... I can't take the tummy punches anymore...Sayaka-chan is dead...Sayaka-chan!!Oh Sayaka that is just what I expected from you (monotone voice)Tummy punchesare not meant to let you live or to kill you. Desu wa♡Haa... Hitomi-san!..She's a proSayaka-chan, look outー!!