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Eiji's realization of desire and his Purple Medals forces him to take anything in his way, including Ankh and a final offer from Kougami to become the OOO Vessel.
Gamel rampages thinking that he can still revive the dead Mezool, while Ankh realizes his true desire even with Eiji now standing in his way.
Having finally taken the burden to becoming the true OOO, Eiji fights to prevent Doctor Maki from realizing his "perfect end" while working to reach his ultimate desire of being there for others and having others be there for him.
Eiji Hino is a traveling man who has no place to call home and a tragic past. When coin-based homunculi known as the Greeed awaken after their 800-year slumber to attack humans and feed off of their desires, the disembodied arm of the Greeed named Ankh gives Eiji a belt and three Medals to fight the other Greeed as Kamen Rider OOO. The mysterious Kougami Foundation approaches Eiji and begins assisting him in his fight against the Greeed, though their true motives are not clear. As Eiji fights the Greeed and their Yummy monsters, learning more of the Greeed and Ankh, he starts to find a purpose beyond his journey.