The body of the doctor from the tanker washes up on the Lostaways' beach with a slit throat, which leads Jack to request/demand that Daniel try to contact the freighter via morse code and find out WTF is going on. Daniel does so, and relays the message that a helicopter is coming in the morning. Lucky for the Lostaways, Bernard knows morse code too, so he tells Jack and the others that Daniel is lying and that the real returned message was "What are you talking about? The doctor is fine." Jack bullies Daniel into admitting that they never intended to rescue anybody from the island. None of this is good news to Jack's sudden onset of sweeps-related appendicitis.
Alex's captors force her call in a message -- "code 14J" -- to Locke's camp. Ben immediately springs into action, boarding himself, Locke, Hurley, and Aaron (and later Sawyer and Claire) inside his house. Miles eventually shows up, too, with a walkie-talkie from the commandos, who march Alex right out in full view of Ben and threaten to shoot her unless he surrenders himself. Ben tries to sell the idea that Alex, not being his real daughter and all, holds no value to him, and thus no value as a hostage. In response, they totally shoot Alex dead! Which leads Ben to sprint into his secret passport room, then into some sort of hidden tunnel, and then somehow (offscreen) he unleashes the smoke monster to wreck shit and take out all the commandos. Ben sends Locke and the rest to safety while he tearfully says goodbye to Alex. Then it's to the woods, where Ben informs everyone that the next step is to seek out Jacob. None too keen on heading off to see the Wonderful Wizard of Oz, Sawyer takes off for the beach with Claire, Aaron, Miles, and Hurley. Only Locke and Ben need Hurley to find Jacob, and Locke pulls a gun on Sawyer to ensure he gets his way. Hurley, not wanting to see a firefight around the baby, agrees to stay behind.
The episode's flash-forward finds Ben in Tunisia in 2005. There he spots Sayid on TV, and he travels to Iraq to find him. Seems after Sayid got off the island, he found Nadia, then married her, only to see her killed by a hit-and-run in L.A.. Ben tells Sayid she was killed by a man hired by Charles Widmore. And so it was that Ben and Sayid began taking out any and all Widmore associates. But to what end? We find that out when Ben breaks into Windmore's hotel room and pledges to return the favor by tracking down and murdering Widmore's daughter. That would be Penny. Widmore says that Penny is too well hidden to be killed, but I say that smoke monster can find just about anybody.
Previously, the Boaties showed up with a mad desire to capture Ben. And on the way to do that, they captured Alex (and shot Rousseau, the bastards!).
Beach. Kate is preparing to wash her shoulders, causing Jack to shoot her a flirty look. I never would have pegged him as a shoulder man. Jack's holding his side, and he makes his way to the tent where the medical supplies are kept. He's pouring some pills from a bottle when Kate interrupts to see what he's up to. He claims he's taking antibiotics due to a stomach bug. But he's acting kind of shady, so I think we're supposed to think he's suddenly become an addict. Dr. Kate tells Jack that her recommendation is that he eat some crackers. Kate's worried that Sayid and Desmond aren't back from the boat yet, and Jack reassures her that he's certain everything is going to be just fine. And then we hear some barking, and someone screaming for help.
I kind of had my hopes up that we were finally going to see Vincent going crazy and attacking someone, but he's just barking at a body floating in the water. The person screaming is Bernard. Everybody comes running, and they pull a man from the surf. Based on the fact that he's been floating face down the entire time they were trying to rescue him, it seems pretty obvious that he's dead. It's even more obvious when they turn him over and see that his throat has been slit from ear to ear. Jack sees Daniel and Charlotte exchange ominous glances, and he asks them if they know the dead man. I would think the first lesson you would learn in conspiracy school is not to exchange ominous glances with your co-conspirators. Daniel tells Jack that the dead man was the doctor on the boat.
Speaking of ominous, we cut to a close-up of Hurley telling someone, "We're all gonna die." He's talking to Sawyer, who tells him to calm down. The conversation is very mysterious, talking about how someone wants them to fight among themselves, etc., etc. But it turns out that the "he" is Locke, and the thing he wants them to fight over is a game of Risk. The only redeeming thing about this scene is that Aaron is sitting on Hurley's lap, looking completely adorable.
And speaking of risk, here's Alex being shoved along by a group of armed thugs. They shove her to her knees and take off her blindfold. She's near one of the control pillars for the sonic fence, and they tell her to turn it off or they'll blow her brains out. Alex tries to plead for the safety of Aaron, but the gun barrel shoved against the back of her head convinces her to enter a code on the fence.