the strawberries - I think they were a literary device much more than a literal one. Let me backtrack.
Max didn't come out of the crash the way the other survivors did - they all desperately wanted to live. He utterly accepted death, his fate and life, and was not prepared to go on living. Thus after the crash there came an asynchronicity between his physical being and his spiritual being. A great confusion indeed, so, despite what others here have suggested (that he had a continuous need to feel alive), in his moments of greatest confusion, he felt a desperate need to PROVE he's alive because he DOESN'T feel alive. The feelings these events engender - on the roof, crashing his car, eating strawberries, are temporary anchors to his physical being, his life, but do not alleviate the underlying confusion. It's why he says to carla they're dead, why he refers to themselves as ghosts. Their souls, their consciences, haven't accepted that they're alive. yet.
To go back to the strawberries - his eating them is indicative of his ghostly state. afterall, you can't die if you're already dead. I believe there is a deeper allegory here to the story of christ, but I haven't decided yet if it was a central tenet thematically, or just a subtext used to allude to the things I've pointed out. anyhoo, he doesn't begin to revive from his state till carla comes to him at the hospital. his crashing the car alleviated her guilt and she was ready to live again. in essence he saved her soul (more christlike allusions). but then he was left behind, alone as a ghost, and that's when he begins to realize that he's still alive, seeing her come to life before his eyes, at his hands. He asks his wife to save him, still feeling dead but wanting desperately to awaken, as carla did. It's only then that the last strawberry can kill him, reviving from his ghostliness. That final brush with death only cements in him how very much alive he is; no truly dead thing could choke on a strawberry, could lie on the floor looking into his wife's eyes, gasping, and in that moment want to live so much. That, finally, is why it's so moving that he cries out, "I'M ALIVE," rather than saying I love you to his wife or something similar. That is the moment his soul fully reawakens to this world.
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