Everyone is mad at Joey and Chloe again, and the tension is high at the villa. An intense exile game exiles one player to the hospital, and Blake learns that no good deed goes unpunished. Meanwhile, one shoremate decides to call it quits so the villa gets a new roommate. And Bethan and Johnny have a serious talk about geography...and their future.

In the season finale, five teams compete for the last spot in the Final Shore Down where they will face off against Karime & Ricardo and Marina & James in a three-way battle for the $150,000 grand prize. But one final twist changes the game.