Then, we learn about how Bruce is doing. Jeff reveals, “Bruce is in great shape. No danger. No damage.” This makes it all the more devastating that he had to leave the game. For this challenge, teams have to push a boat out to sea, paddle around a buoy, and get a heavy chest from the water onto the shore. They then have to get the chest onto a zig-zag track, drag it down the track, untie the chest, and pull out a small bag with a key. The last stage is to complete a giant slide puzzle with VERY heavy pieces.

Matthew sits out for Ratu, while Claire sits out for Soka. Soka is unsurprisingly in first place throughout the challenge, once again, since they have one of the physically strongest teams. Matt calls the puzzle while the other four tribemates push the puzzle pieces around the board. Ratu and Tika finally begin their puzzles, but then Jeff stops the challenge for another medical emergency.

One episode into Survivor 44, and the medical team has already been brought multiple times. Brandon, a former NFL player on Ratu, nearly passes out and has to sit out the rest of the challenge. Soka finishes first, collecting their very sexy sword immunity piece, while Tika comes in second place with the shield. Ratu finishes last and is forced to go to tribal council.