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Earl is out of prison, but he and Randy are broke and homeless. So when he sees Ralph living the good life doing bad things, he declares that there is no karma and throws away the list.
The warden reneges on his promise to Earl to grant an early release, so Earl launches a plan to escape from prison.
Earl is in a coma after being hit by a car. Randy steals an ambulance to get him to the hospital, but getting there proves to be difficult and complicated.