Real World/Road Rules Challenge Fresh Meat head down under as a pack of eager hopefuls try to make a name for themselves against alumni in Australia. The twist? Each new cast member is paired with an alumni creating 12 individual teams. The four remaining teams will duke it out in the final challenge in hopes of heading home with a $250,000 cash prize. The first challenge begins on the 175th floor of the famous Q1 building where the teams go against each other in a battle of time and speed.

Trust and support go hand-in-hand this week on the challenge when Diem confesses to her partner Derrick that she is suffering from ovarian cancer. The tragic news drives Derrick to give his all and make a difference in Diem's life. At the challenge it is a test of strength: The male on each team must hang upside down from a crane, holding their partner's arms as they dangle over water. Coral and Evan, yet again, choose the line-up and, yet again, target the Austin cast as they send Melinda and Ryan alongside Wes and Casey to be the first on the crane. Water becomes the main factor as each team's grip slowing breaks apart.

Ryan begins to feel his partner, Melinda, doesn't have her head in the game after she talks to Danny and confesses she would rather be with him at home than at the challenge. Team work is key at the next challenge as each team is handcuffed, shackled, and locked in a jail cell and must sift through several pales of "slop" using only their faces and mouths. Three keys must be found: two unlock their handcuffs and one unlocks the jail cell. Once released, they must sprint to the finish line.

Tina is full of opinions, calling Wes sexist and saying her partner Kenny is only here for fun and games. At the "Climber's Paradise" challenge each team must climb a wall while carrying a bag full of pegs for one another. The pegs will then be used to make it up the wall and two flags must be captured at the top to complete the mission. But there is a 10-minute time limit and falling off of the wall you means you are automatically disqualified.

While out on the town Tonya and Johnnie discuss how to work better with one another and Wes confesses to Johanna via phone that he feels alone at the challenge. Evan, on the other hand, finds out that he has an athletic hernia -- a torn muscle in his stomach -- and he fears what Coral will think. At the challenge each team must "cross paths": Starting at opposite ends of a rope that hangs 25 feet above water, they must get across the rope by passing one another and reaching the other side -- all without a harness!