A "Survivor"-type reality show on which one of Dr. Sloan's med students (Alex Smith) hopes to win $35,000 to pay for student loans. When an obnoxious contestant named Larry dies of an overdose of antidepressant, it is assumed to be a accident or suicide. Steve doesn't accept that, and Dr. Sloan becomes a replacement contestant. Hidden diamonds found in the heel of Larry's shoe and a draft of air observed on a tape of that night provide Dr. Sloan with an insight. He carries out a reenactment, leaving freckles on the murderer's face, demonstrating how an unobserved/untaped murder had been engineered.