When a medical emergency sends one survivor off the island for treatment, the others are left wondering whether or not the fallen castaway will recover and be able to return to the competition.

A brutally honest Reward Challenge, leaves one castaway particularly hurt by the outcome and another miffed that they weren't chosen to participate in the reward. Can the castaways get along after the challenge or are some tribe members too bitter to forgive and forget? As the lone member of the former La Mina tribe, Terry finds himself without any allies at camp. His only hope is that the constant bickering between the others will continue, although he still has the opportunity to use the Hidden Immunity Idol he found while on Exile Island (which some tribe members doubt he actually has). Tensions run high around camp when Shane questions the strength of his alliance and threatens to turn the game.

Will the tenth member of the tribe be voted out, or will the medical emergency force the ailing survivor to leave the game for good?