In Memphis, the musicians stop at St. Jude Children's Hospital for a charity show before their concert to determine the final four artists who make it to Nashville; Little Big Town founding member Karen Fairchild joins Keith Urban in the audience.

The final three musicians open for Keith Urban one last time; Blake Shelton opens the show with a performance off his latest album; the fate of the final three rests solely in the hands of the audience who vote to pick the winning musician.