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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.
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.
Nothing can get Earl out of his coma, so Randy turns to a young faith healer from their past. However, the boy says that he no longer heals people because he discovered how Earl lived his life after he "healed" him the first time.