Runway expert J. Alexander prepares the models for their rockiest challenge yet. The winner of the challenge and two friends jet off to work a star-studded fashion show with some past seasons' Top Models. Later, the girls have to rock a catwalk suspended over water, but one girl's sickness lands her in the hospital. One model is eliminated.

A red carpet challenge with Janice Dickinson leaves some of the girls speechless. The stars come out at a photo shoot where the models are transformed into celebrity couples. Back at the house, one of the twins reveals something very personal.