Opening Game: Simone (Tanedra Howard) and Eddie (Marty Moreau), two loan sharks, must pay back their ill-gotten fortunes with their own flesh. Each player has to remove flesh in order for the scale to be balanced in their favor. Whoever places the least flesh in the scales will have their skull fatally pierced by two bolts. Time limit: One minute.
Main Game: William Easton (Peter Outerbridge), vice-president of a health insurance company, and the person who developed a formula that gave coverage to the healthy and denied it to the sick, must use his formula for life and death in a series of five games. Each game completed successfully will release a key for a set of wrist and ankle shackles that will explode after one hour. Time limit: One hour.
Game 1: William and his janitor (Gerry Mendicino), a smoker for countless years, are strapped into a vise around their torsos which gets tighter and tighter with each breath they take. The more air each inhales, the tighter the vice. No time limit. Survivor is released at once.
Game 2: William must choose the life of either his file clerk Allen (Shawn Ahmed), a healthy 20-something, single male, or his secretary Addy (Janelle Hutchison), a middle-aged diabetic with a large family. To choose, William must simply let go of one pullcord handle. The doomed will be hung by the neck with barbed wire. The wires slowly pull the victims up, limiting the time as the cords give more tug.
Game 3: The Steam Maze. William will have to help Debbie (Caroline Cave), the lawyer for his firm, transverse a maze. Debbie is attached to a trap that is set for 90 seconds. If they fail to unlock themselves, the trap will pierce Debbie's skull. William must choose to either allow Debbie to suffer or to relieve her while going through the maze and receiving some pain in form of hot steam. Unbeknownst to William, the key to the trap is hidden inside his body, and it must be removed for Debbie to survive. Time limit: 90 seconds.
Game 4: The Carousel. Six of William's assistants, whose jobs require searching for loopholes in policies, are chained to a carousel. A shotgun is set up to discharge a round into the selected individual. William must choose to either allow two individuals live or let all six die. Each time he chooses to let one live by pressing a button to stop the gun from firing, his own hand will be pierced by a spike. There is approximately 30 seconds between shotgun blasts, and a 10 second interval where William can save a life.
Game 5: Tara Abbott (Caroline Cave), widow of the man denied coverage by William's company, and her son Brent (Devon Bostick) are given the choice of whether William should live or die. If they choose "DIE", he will be injected with hydrofluoric acid; if they choose "LIVE", he will be freed.
Final Game: A murderer who believed he was untouchable has been caught and the Reverse Bear Trap will be his judge.