The game continues, despite the tension caused by the previous week's evention of Earl. Matt is shocked to learn of an apparent one-night stand between Dr. Pat and Hutch. The immunity competition causes real trauma for Dr. Pat - she's knocked down and hurt by Matt in a sumo uniform and has to be taken to the hospital. Matt later gives her his prize for winning the sumo competition before the start of the immunity game, Master Debater, which Matt wins. The "Riches to Rags" ceremony features a special offer - a $25,000 reward if she will leave the game voluntarily.