With that, it's time for the elimination ceremony. Mark, clearly an adorable naïf, says that he doesn't know how Ada will vote, but Frado and Patrick should have his back. He's confident that they'll keep him around. Elizabeth, on the other hand, is never confident going into eliminations. People may have friendships, she says, but in the end they'll do what's best for them. Ada is first to vote. She says that she has to choose what's right for herself, and there's one person she's closer to. For that reason, she votes for Mark. Bad call, man. Bad call. Patrick has a special place in his heart for both Elizabeth and Mark, and says this is the hardest elimination yet. No it is not! Gah. Patrick votes for Mark, and then apologizes and says that he is a huge threat. Mark is a little surprised by Patrick's vote. I'm not. Patrick says that if the situation were reversed, Mark would have also given himself the best opportunity to win. He hopes that Mark doesn't take it personally. Mark says he understands, which really means, "I understand that you're an asshole." He looks kind of blank and sad and it's really very depressing. It's also infuriating that Elizabeth has made it to the final four.

Mark tells us that this hurts. Not only did he not make the final four, but he though Patrick had his back and was mistaken. Patrick was wrong when he said that Mark would make the same decision if the situation were reversed, Mark says. I believe him on that one, too. Being on The Biggest Loser has been the experience of a lifetime, Mark says. He adds that life at 421 pounds was not great. He let his weight define him, but discovered how hard he can push himself. He's back, and back to stay.

Cut to Mark heading home to New Brunswick, NJ. A party in his honor is being held at the bar where he used to work. Brendan, meanwhile, is back in West Roxbury and ready for his party. His friends and family, one of whom may be Burt Reynolds, cheer when he enters. His mom says that she first noticed his smile, which she hasn't seen on him for years. Mark gives his dad a great big hug. His dad says that if he passed Mark on the street, he wouldn't recognize him. He's so sweet. Mark tells the crowd that he was stuck in a rut before he left, and had lost his zest for life. Brendan tells a similar story, adding that he was a sad, sad soul and it was tough for him to live. He realized that the ultimate prize was getting his life back. Mark is now ready for life to catch up to him, instead of the other way around. Brendan tells us that before coming on campus he was really depressed, and had a lot of anxiety and other issues. Hm, maybe this is what the others were referring to when they talked about how much Brendan had been through. His issues are not all gone, but they're starting to dissipate and he's feeling really good now. Mark, meanwhile, has his eyes on the $100,000 prize.