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As freezing temperatures punish Vancouver Island, the remaining pairs all face game-changing scenarios. One participant is hit with a crippling illness, while another's temper drives a wedge between him and his teammate.
After nearly a month on Vancouver Island, the three remaining teams face existential threats at every turn. One participant is forced to fight a raging fire, while rising tensions threaten to end another partnership.
As time presses on and temperatures drop, the final teams grapple with an unbearable desire to tap out. But the $500,000 prize is hard to give up, and the participants push themselves until one reaches the breaking point.
The fourth season was again set on Vancouver Island, in Quatsino Territory, located near Port Hardy, British Columbia.