This episode featured four co-ed pairs competing as teams. Stunt #1 (Helicopter platform transfer) Both team members would have to leap back and forth between two platforms hanging from helicopters, each person transferring up to 10 flags from one platform to the other and then jumping in the water below. The three teams get highest flag total would advance to the next round. The team with the least flags would be eliminated. Stunt #2 (Fear Factor Barber Shop) One team member would be seated in a barber chair and their partner would spin them. When the chair stopped, they would have to get whichever haircut their head was pointing to. The options were Mohawk, bald spot, patches, the taco, sideways Mohawk, and bald. Teams would advance to the finals if both members got their designated haircuts.

Teams do a helicopter/jet ski stunt, transfer objects by mouth while locked up with frogs and alligators, and drive an ATV off a pier. Fear Factor travels to Huntsville, Alabama for a Home Invasion.