The episode began with Jenn (Denver) speaking with Aneesa (Chicago). The talk centered around Aneesa's inability to compete with a busted knee. While Jenn was trying to convince Aneesa that the final mission may involve some serious strenuous exertion that may put stress on her knee, Aneesa tried to reassure Jenn that she was willing to take that risk. The Good Guys, meanwhile, have only three girls left on their side. There's the obvious alliance between Cara (South Pacific) and Susie (Australia), leaving Paula (Key West) to be the most likely girl to be sent to the Inferno.
The mission involved pushing these railroad carts on a set of train tracks. Aneesa refuses to sit this one out and while the rest of the team wants Aneesa to sit out, she insists that she participate, making Jenn sit out. The Bad Asses have the early lead, but soon fall behind. The Good Guys develop a significant lead and end up winning the Challenge.
The girls now have to decide who to send into the Inferno. The Bad Asses decide that they want to send either Susie or Paula. They figure since Susie and Cara are in an alliance, that if Susie wins the LifeShield, she'll send in Paula. So they decide to put Susie in the Inferno. On the Good Guys side, they decide to put in Jenn. No change.
Then the strategists begin to work. Susie tries to make it apparent that she doesn't want the LifeShield, but then she confesses that she's only making it seem this way because she doesn't want Paula to win the LifeShield herself. Then Susie is laying at the pool with Cara and she tells Jenn that she doesn't want to see her go home. This makes Jenn angry and she vents her frustration to Aneesa.