Hey Paulie, how ya doing there, bud?
He didnt even make it to the end of stage 1 without his body completely giving out.
Plus, Cara Maria had a meltdown over a simple math equation.

Credit: MTV
How the mighty have fallen!
Will he get eliminated due to medical concerns?
But lo and behold, Paulie actuallypicks himself up and continues on.

The Challenge.MTV
I may have screamed when he actually got up and started walking.
This guy really cant be killed, huh?
And since you never know whats going to happen in these finals, Im not calling it yet.

The Challenge (screen grab)CR: MTV.MTV
I dont make the rules!
They make it to the final checkpoint, which is a pyramid puzzle.
But Team U.S. is falling apart, just like their gurney (and Paulies body/reputation).

MTV
Zach is screaming at his female teammates (shocker!).
And theyre all carrying their sandbags, which is a direct violation of the rules.
How did that happen?!

The Challenge.MTV
Lets watch him die some more!
Doesnt she know not to bite the hand that feeds her?
Now all her edits this season make sense.

The Challenge.MTV
Never piss off the camera crew, honey.
This Kam is the best Kam and I hope to see more of her in future seasons.
Meanwhile, Team U.K. finishes their final lap with their gurney and drop it for the last time.

MTV
They race to their team boat on the pier where they find a final feast (i.e.
Time to get ready for a swim!
Shouldnt they get a lot more for breaking more rules than Team U.K.?
That seems wildly unfair.
Its not a pretty sight.
But wait, theres more!
I mean… really, guys?!
Major props to these two.
I cannot believe theyre letting Paulie stay in the game right now.
Even if hes vomiting up the last of his strength and dignity.
They then race across the island and swim back to their team boat.
Shocking me like Ive never been shocked before, Ninja is the first one to finish her puzzle!
That pisses Zach off to no end.
CT is the first one on Team U.K. to solve his, and hes off and running.
Of course, Rogan is the next one to solve his puzzle.
Cara is the next one to solve her puzzle, and then its Paulie.
Zach solves his puzzle, and then Jordan solves his.
Ashley is next to solve hers.
He calls it his worst loss ever and its heartbreaking.
But I must get over it and move on because its time for stage 2.
The teams must run six miles around the island while chained together at the ankles.
They must then solve a puzzle and kayak out to a yacht.
That is extremely fed up!
Are you kidding me?!
Wow, I am not happy about this revelation.
If I were playing and still in at this point, I would have thrown a tantrum.
Meanwhile, Paulie gets his second wind and motivates Team U.S. to run faster.
Im not liking how this is turning out, you guys!
I am getting nervous, especially when Team U.S. catches up to Team U.K.
Team U.K. gets to the puzzle first, and its a nine-piece tangram.
So much for this seasons self-proclaimed it couple, huh?
Team U.K. times out on their puzzle and makes a run for their kayak with a small lead.
But Team U.S. times out shortly after, so now its a kayak race to the finish.
So who ends up winning?
Time to pop some bottles, because its thankfully!
You literally cannot write this stuff!
And while this season may be over, the drama is only just getting started.