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On Vancouver Island, a seriously injured participant weighs the risks of seeking medical help and sacrificing his shot at $500,000. Danger awaits all participants as predators continue to stalk the island's newest inhabitants.
As their teammates attempt to set up camp, the hikers find that Vancouver Island's terrain is even more punishing when on the move; the island beats one pair into submission, while another grapples with a devastating accident.
Desperation sinks in as the hikers struggle to make the final push to their teammates. Exhaustion leads one participant straight into the path of a predator, and into a dangerous confrontation.
The fourth season was again set on Vancouver Island, in Quatsino Territory, located near Port Hardy, British Columbia.