Agent Strahm is dead, and FBI agent Erickson draws nearer to Hoffman. Meanwhile, a pair of insurance executives find themselves in another game set by jigsaw.

Newscaster: The Jigsaw Killer may be dead but the murders still continue...
Jigsaw: Hello, William. You've probably been wondering when we would see each other again. Today is that day. For years your probability formula has decided the fate of others. The healthy have benefited while the potentially sick have been unjustly rejected. However, this formula does not take into account the human will to live. When faced with death, who should live versus who will live are two entirely separate things. Today your policy will be put to the test. There are four straps around your limbs and you have four tests you must complete, for if you don't, the straps on your arms and legs will detonate. Look closely. You have sixty minutes to complete your tests and avoid this fate, starting now. You are not alone in this game. Just as you have taken loved ones away from their families, if you do not reach the end before the timer hits zero, you will never see your family again... Here is your first test. Your health and hereditary background put you in the highest category of success, however the same cannot be said for your adversary. While only fifty-two years of age, this man has continued to smoke, even though he has a history of high blood pressure and heart disease. This demonstrates the very lack of appreciation for the blessings of his own life. Your game will focus on the simple element of air. Once this game begins, every time you take a breath, the clamps around your chest will close in and crush your body. The only escape is in the other's failure. So I ask you: When faced with death, who will survive? Live or die, William. Make your choice.
Jigsaw: [flashback scene when John questions William about being denied coverage for his cancer treatment] I came to talk to you Will, because I've found a treatment for my cancer that I think holds a lot of promise, but my requests for coverage have all been turned down...
William: Yeah...
Jigsaw: So, I was hoping that if I came and explained it to you that you might be able to get that overturned for me.
William: [smiles doubtfully] Well, the buck stops here, John. Fire away...
Jigsaw: Okay.
[John hands William a brochure]
Jigsaw: This is a doctor in Norway. He's got a 30 to 40% success rate with gene therapy. He injects what he calls suicide genes into cancerous tumor cells; then an inactive form of a toxic drug is administered...
William: Yes. I'm familiar with the therapy you're talking about.
Jigsaw: Right. And a new trial's starting. He's looking for new patients and he seems to think that I'm the perfect candidate...
William: John, if your primary physician, Dr. Gordon, thought you were a suitable candidate, he would have pursued it.
Jigsaw: No. Dr. Gordon is a specialist. You know, he's making money on his specialty. He's not a thinker. I mean, the man has his hand on the doorknob half the time that I'm there.
William: I'm gonna be straight with you. At your age and with the development of your cancer, it's simply not feasible for Umbrella Health...
Jigsaw: Wait, wait, wait, wait. What's not feasible? By whose mathematical equation is this not feasible?
William: It's policy, John. It's policy.
[pause]
William: And if you go outside the system and seek out this treatment, which has been deemed ineffective, you will be in breach of policy and you will be dropped from coverage completely.
[pause]
William: I'm sorry.
Jigsaw: [gets up from his chair and paces around William's office] Did you know that in the Far East, people pay their doctors when they're healthy? When they're sick, they don't have to pay them. So basically, they end up paying for what they want, not what they don't want...
[pause]
Jigsaw: We got it all ass-backwards here. These politicians, they say the same thing over and over and over again; "Healthcare decisions should be made by doctors and their patients, not by the government." Well, now I know they're not made by doctors and their patients or by the government. They're made by the fucking insurance companies.
Eddie: [to Simone] I'M NOT DYING FOR YOU, BITCH!
Debbie: [holding the circular saw on William] I need that fucking key!
Jigsaw: [On a cassette recorder] Well today you will experience the meaning of sacrifice and you will see the consequence for those who unjustly hurt others.
Pamela Jenkins: Fuck!
[Smashes the recorder onto the ground]
Dan Erickson: [pressing on Hoffman] You know, there is an alternative. Let's say that Strahm killed Seth Baxter specifically to set you up as an accomplice to Jigsaw...
Mark Hoffman: [tensing] Okay?
Dan Erickson: There is a problem with that, though. On further analysis of Strahm's fingerprints it was found that the Uric Acid levels were inconsistent for an individual with an active epidural metabolism.
Mark Hoffman: [setting his hot coffee cup on the table next to him] In other words...?
Dan Erickson: In other words, when you left his fingerprints on the latest victim, Strahm was already dead!
Mark Hoffman: [while stabbing Agent Perez] Who else knows about me?
Agent Lindsey Perez: [grabs Hoffman's face before she dies] Everyone!
Mark Hoffman: You lie...
[stabs Perez for the final time]
Mark Hoffman: You *fucking* lie!
[Shelby has just been saved]
Josh: Aww, well that's it isn't it? It's over. You motherfucker! You spinless, pussy-whipped motherfucker. That's all it takes eh? A bitch says one thing and it's all over! You know what William? Your policy is bullshit! Fucking bullshit! Well you listen to me you son of a bitch. I did everything for you.
[William is unable to look]
Josh: Look at me! When you're killing me you look at me!
Harold Abbott: [Places a rejected insurance claim on the desk] I don't get it. I have been with this insurance company for over 10 years.
William: I know, Harold, but unfortunately when we reviewed your claim we found that you failed to mention a previous condition.
Harold Abbott: What condition? There is no condition.
William: It says here that you had oral surgery to remove a cyst from your jaw.
Harold Abbott: This is absurd! I have heart disease. I has nothing to do with some oral surgery I had 30 years ago.
William: Any type of oral surgery is going to leave scar tissue. Scar tissue can lead to gum disease and as you well know gum disease can cause heart disease.
Harold Abbott: You know what? You're a criminal. You are a goddamn criminal. I have paid my monthly premium for 10 years without so much as a cold. And now that I'm actually sick you're going to deny my coverage? I have a family!
William: Those are the rules, Harold! I'm sorry but your own actions have caused this.
Harold Abbott: You've just given me a death sentence. Who is going to cover me now? You just killed me.
[Leaves William's office]
Simone: He did this to me...
Mark Hoffman: Who did this?
Simone: Jigsaw...
Mark Hoffman: You didn't cut your own arm off?
Simone: I did... I did!
[pause]
Simone: But he made me do it!
Mark Hoffman: And why is that?
Simone: [hesitates] Because what Eddie and I were doing was wrong.
[pause]
Simone: We were ruining people's lives!
[starts crying]
Simone: He wanted us to learn!
Mark Hoffman: [coldly with no emotion] And did you?
Simone: [suddenly looks up at Hoffman] *LOOK* at me!
[Simon lifts up her severed arm]
Simone: *LOOK* AT MY GODDAMN *ARM!*
[Hoffman glares]
Simone: WHAT THE *FUCK* AM I SUPPOSED TO LEARN FROM THIS? HUH? LOOK AT MY ARM! WHAT AM I SUPPOSED TO LEARN FROM THIS?
[Hoffman walks away]
Simone: LOOK AT ME!
William: It's not my game...
Tara: [sobbing] I can't! I can't kill him!
Brent: ...But I can.
Tara: No, Brent!
Brent: [to William] You killed my father, you motherfucker!... Now you burn in hell.
Eddie: [as Jigsaw explains the game on the tape] This is *your* fault!
Jigsaw: [John appears on television] Hello, Tara. My apologies for exposing you and your son to this kind of treatment, but I can assure you it is not without reason. The man before you just made the sacrifices to save the life of a loved one. However, when given the opportunity to save your husband's life, he chose not to. Now, you will be given the power to save a life. Will you grant this man the opportunity to continue living, or will you dispense the same death sentence he issued your husband? Live or die.
[pause]
Jigsaw: The choice is yours.
Jigsaw: Hello, William. Before you are six of your most valuable associates. The ones who find errors in policies. Their findings result in over two-thirds of all applications denied or prematurely terminated. Now you must apply your analysis to them. And will you be able to find their errors? Six ride the carousel, but only two can get off. The decision of which two survive falls upon you. But remember, the mounted gun will continue to fire until all six rounds are spent. And if no decision is made on your part, all six will perish. To offer the two reprieves, you must press both buttons at once in the box before you. However, in doing so, you will give a sacrifice of your own. Two can live, four will die. Your decisions symbolized by the blood on your hands.
Jigsaw: Hello. I want to play a game. The devices on your heads are symbolic of the shackles that you placed upon others. You recklessly loan people money, knowing their financial limitations, counting on repossessing, more than they could ever pay back. You are PREDATORS, but today, you become the prey. And it is your pound of flesh that I demand. This scale before you is your only path to freedom. However, only one of you may pass. And the toll is the ultimate sacrifice; the sacrifice of flesh. Before you, are the instruments to exact this flesh. Move with haste, though. For when the sixty second timer hits zero, the one who given the most flesh will release their bindings while the gears on your opponent's head will engage; piercing their skull. Who will offer the flesh to save their life? The choice is YOURS.
Amanda: [to Corbett] Remember.
[pauses]
Amanda: Remember, don't trust the one who saves you.
Amanda: So when's your test, Detective?
Mark Hoffman: I don't need one.
Amanda: [sarcastically] Oh yeah?
Jigsaw: [to Hoffman] Do you like the way brutality feels, Mark?
Dr. Heffner: [Showing photos from the Jigsaw victims] Look here. These are the jigsaw pieces cut from previous victims. This is the piece taken from the latest victim.
Mark Hoffman: Looks like all the rest.
Agent Lindsey Perez: Yeah, that's what we said too.
Dr. Heffner: The skin abrasions they're indicative of a knife with a partially serrated edge.
Mark Hoffman: So?
Dr. Heffner: So all of the other cuts were made of a near perfect blade of surgical quality.
Mark Hoffman: Obviously Strahm used a different knife than John Kramer.
Agent Lindsey Perez: Right but it got us curious so we pulled the files to compare. That same blade was used in only one other victim.
Dan Erickson: That victim was Seth Baxter. The man who killed your sister.
Mark Hoffman: You're telling me that you can tell a different knife was used from a photo?
Dr. Heffner: No, but I can. I was the one who examined that body. I've examined every victim of the Jigsaw killer.
Mark Hoffman: Good work.
Jigsaw: You think it's the living that will have ultimate judgment over you, because the dead will have no claim over your soul.
[crumples application]
Jigsaw: But you may be mistaken.
Jill: [after Jill closes herself in her office with Hoffman] I didn't expect to see you here so soon.
Mark Hoffman: Change of plans. The game begins tonight.
Jill: Why?
Mark Hoffman: Because someone knows about the box that shouldn't.
Jill: Who?
Mark Hoffman: That's not your concern. All you need to know is that from now on I control all aspects of the game.
Jill: That's not what John wanted.
Mark Hoffman: Give me the envelopes. That's not a request!
[Jill hands him the envelopes]
Mark Hoffman: From now on, I work alone.
Jill: I know. I'm only carrying out John's final request.
Mark Hoffman: Well, John is dead... and his work is almost done!
Jill: [Opens her door] Miss Jenkins.
Pamela Jenkins: Please, this will only take a second. We can help each other!
Jill: What makes you think you can just come to my door like this?
Pamela Jenkins: Because I found something you want to see.
[Hands Jill a letter]
Pamela Jenkins: Go on.
Jill: Where did you get this?
Pamela Jenkins: It was at the location where John died. Does it mean anything to you?
Jill: No. Goodbye Miss Jenkins.
William: [about rejecting Harold Abbot's request for life-saving treatment] I have family, too, so I can empathize with his argument, but basically, the guy lied on his application...
Debbie: [interjects] Hey, whoa! Watch it, Will...
William: What?
Debbie: Do you think he did that on purpose?
William: [sighs] All right. It wasn't my job to assess what his intentions were. It was my job to check the accuracy of his claim. Look, everybody thinks we're the bad guys. Nobody mentions the millions of people we help every year without incident, or the millions of dollars we donate to charity every year or all the free clinics we support.
Debbie: [smiles] Short answers, Will. Short answers.
[William rises out of his chair and briefly watches the news covering the latest Jigsaw case on his TV]
Debbie: One more question; who found the error on his application?
William: [points out to his employees working in the other room] The "Dog Pit."
[pause]
William: They work as a team. If there's a discrepancy to be found in an application, the six of them will find it.
[flashback]
Jigsaw: Methadone's a masking agent; it doesn't heal, it simple nulls the senses. I found a better way. These people, they will continue to hurt you, and let you down.
Jill: They're addicts John. Recovery is a process.
Jigsaw: Maybe addiction's just part of human nature. But what about these people, Jill, who come here every day and use you? They bide their time. They're avoiding prison sentence. They're getting hooked on masking agents. Do you call that recovery?
Jill: It's not that simple.
Jigsaw: Addiction is not simple, Jill! Wake up! These people have no respect for the lives they're destroying. Once you see death up close... then you know what the value of life is. And that's my way. And I brought proof that it works.
Jill: Amanda?
Amanda: Hello Jill.
Jigsaw: Jill, you once told me she was a lost soul. But here she stands. She's clean and whole. And she has new appreciation for her life.
Amanda: It works. It's real. He helped me.
[back to present]
Jill: Okay, John.
[leaves]
Mark Hoffman: Amanda will fail you.
Jigsaw: We'll see.
[last lines]
[flashback]
Jigsaw: You want a chance? I'll give you a chance.
Shelby: My parents are sick okay? They need me, I'm all they have.
Dave: You're fucking lying. Your parents hate you, they cut you off.
Gena: I'm pregnant. I'm pregnant!
Josh: No she's not! She's lying to you. She's fucking lying
Gena: I'm not.
[Carousel stops on Gena]
Gena: I'm pregnant. Push the thing. Push the thing! Mr. Easton push it. Push it!
Jigsaw: Hello, William. Standing on the platforms behind me are two of your colleagues. One: your file clerk, a young healthy male with no living relatives. The other: a middle aged woman, with a family history of diabetes. According to your policy, your secretary is older and weaker, and therefore less worthy to survive, but you know the loss that she will be to her family? While young Allen will disappear without a blip on the world's radar. Only one can exit this room and the choice of whom falls upon you. You must let go of one to save the life of the other. As you can see, the choice is not so clear when you are face to face with the people who's blood will stain your hands. Let the game begin.
Jigsaw: [to Jill] When all this is done, I will provide a way out for you.
Jigsaw: Piranha!
Amanda: Get used to me because I'm not going anywhere.
Mark Hoffman: You sure about that?
Jill: [Hoffman looks up at Jill after being bind into a chair with the reverse bear trap device strapped on his head] John left you five envelopes...
[Jill shows Hoffman the folder with the five envelopes, revealing a sixth one]
Jill: The sixth one... was for me!
Agent Lindsey Perez: [to Hoffman] You know, there are still a couple of things I can't quite wrap my head around; I don't understand Strahm's motivation. He was my partner for five years. We all knew he was a bit of a hot head, but I never saw any indication of psychotic behavior...
Tara: [after Brent grabs the "Live or Die" lever] What are you doing?
Brent: Move as far away from the sprinkler head as possible.
Tara: We don't know what it does!
Brent: We're not just going to sit here and do nothing. We need to make a decision! Don't you understand?
Jigsaw: Hello, William. You have seen the flaws in your policy, but what you have not seen is the extent some people will go to when faced with death. The lawyer from your firm has ninety seconds to cross this room or the device attached to her chest will discharge and pierce her brain. She will find that the journey across this room is filled with danger. In order for her to make it, you will need to be there for her and it is you who ultimately holds the key to her survival. When faced with death, will she have the skills to live? Let the game begin.
Amanda: [Pressuring Cecil to break into the clinic] Go, go!
Cecil: I don't know about this.
Amanda: What do you mean you don't know about this?
Cecil: She's been good to us.
Amanda: [Leans seductively toward Cecil and starts crying] I've been good to you.
Cecil: I know, I know.
Amanda: Please go!
Cecil: [Pulls Amanda close to him] You drive me crazy!
Amanda: Go, you fucking pussy. Go, go go!
Jigsaw: You think it's the living who have ultimate judgment over you, because the dead will have no claim over your soul. But you may be mistaken.
Mark Hoffman: [voice over reading Amanda's letter] Amanda, you were with Cecil the night Jill lost Gideon. You killed their child. You know it and I know it, so do exactly as I say. Kill Lynn Denlon or I will tell John what you did.
Pamela Jenkins: [Speaking on Jill's answering machine] Miss Tuck, this is Pamela Jenkins calling yet again. I was hoping you could clear some things up for me about your husband. Let me buy you lunch or a cup of coffee. I found something interesting about John Kramer's death.
Jigsaw: [from Jill's ultrasound footage of Gideon] We love you, son, and we're waiting for you.
Pamela Jenkins: Have mercy! Please?
Tara: Did he show mercy when my husband was suffering?
Jill: [her last line - To Hoffman] Game over.
[first lines]
Simone: Help!
Sachi: [while analyzing the Seth Baxter tape] Whoever made this tape had access to some impressive audio filtration equipment. Fortunately we have some tricks of our own here. We can turn his algorithm upside down and let us hear what he really sounds like.
Mark Hoffman: What did you find?
Dan Erickson: Take a look.
Agent Lindsey Perez: The human fingerprint leaves an oily residue. Depending on how long it has been exposed to the elements it's highly susceptible to contamination.
Mark Hoffman: So what's the problem?
Agent Lindsey Perez: We found traces of Halomethane R-12.
Dan Erickson: She means Freon.
Agent Lindsey Perez: Production of R-12 ceased in 1994 so the question is, was the contaminant we found at the site already or did Strahm bring it in with him?
Dan Erickson: We're looking into the building's function before it was abandoned.
William: [Referring to Pamela] Let her go! I made it! I won!