When a player falls overboard during the "Fair Trade" adventure challenge, one team must work together to save their teammate so they can remain in the race for the $40,000 prize money for their charities. Also, the eight celebrities struggle to sleep through the night after their camp becomes infested with ants.

The seven remaining celebrities come together to celebrate Coach Mike Singletary's birthday. Also, teams must work together to trek one mile through a rugged swamp and rappel down a six-story cliff during the "Witness the Fitness" challenge. And one celeb seeks medical attention for their swollen jaw and considers ringing the bell.