Survivor: One World merged the Salani and Manono tribes and eliminated Colton Cumbie, an openly gay 21-year-old college student from Monroeville, AK, from his Manono tribe during Wednesday night's sixth episode of the CBS reality series' 24th edition.

Rather than being voted out at the season's sixth Tribal Council session, Colton was medically evacuated and removed from the game because he had been suffering from acute appendicitis and needed emergency surgery.

"I just don't want to leave," Colton shrieked in pain as the medics tended to him at camp.

"So what you're saying is, you have to take him [to the hospital] and you have to be able to do the tests you need to determine [his diagnosis]," Survivor host Jeff Probst confirmed with the medic.

"And Colton, that means if we have to take you out and take you to a hospital, you have to be out the game. We have to pull you from the game," Jeff said.

"Jeff, please don't. Please, Jeff. I just wanted to prove that I could do this. I guess I've done my best. I just wish I could have done more," Colton said in tears.

Survivor: One World's sixth broadcast began on Night 14 with the newly-shuffled Manono tribe -- which consisted of Colton; Leif Manson, a 27-year-old phlebotomist from San Diego, CA; Jonas Otsuji, a 37-year-old sushi chef from Lehi, Utah; Greg "Tarzan" Smith, a 64-year-old plastic surgeon from Houston, TX; Christina Cha, a 29-year-old career consultant from West Hollywood, CA; and Alicia Rosa, a 25-year-old special education teacher from Chicago, IL -- arriving back at camp following the previous Tribal Council in which Monica Culpepper was voted out of their tribe.

Alicia was apparently so glad they got Monica out and said she was planning to stick with the guys on her tribe instead of the girls -- Kim, Chelsea, Sabrina, and Kat -- whom she had formed a previous alliance with before the all-male and all-female tribes were shuffled at random during last week's episode, separating her from the castaways she had trusted.

Colton told Christina, who was the only member of the Manono tribe out of the loop when everyone chose to vote out Monica, right to her face that she was going to be the next castaway sent home. He told her she could make friends with a hermit crab if she wanted to, because no one was going to be on her side or make an alliance with her at that point in the game.

Colton continued to give Christina a hard time and said if by "some miraculous miracle" she made it to the merge, she'd be the first one to go.

"Maybe I am an idiot and that's what it is," said a disheartened Christina.

While Alicia joined Colton in the "gang up on Christina session," Christina stood up for herself and told Alicia she was a very difficult person to work with. Alicia refused to let Christina settle in next to her beneath the tarp to sleep, and while Christina wouldn't let it go, Alicia told her not to talk to her and said it didn't matter what she did or said because it was only a matter of time until she was going to be eliminated.
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"Scoot over. I think Alicia's genuinely not a good person. She has a lack of integrity and Colton's a jerk. I'm going to let other people see that," Christina said. "All gloves are off and I'm ready to fight. And I'm going to fight hard."

On Day 15, the newly-shuffled Salani tribe -- which consisted of Jay Byars, a 25-year-old model from Gaffney, SC; Michael Jefferson, a 30-year-old banker from Seattle, WA; Troy "Troyzan" Robertson, a 50-year-old swimsuit photographer from Miami, FL; Kat Edorsson, a 22-year-old timeshare representative from Orlando, FL; Chelsea Meissner, a 26-year-old in medical sales from Charleston, SC; Kim Spradlin, a 29-year-old bridal shop owner from San Antonio, TX; and Sabrina Thompson, a 33-year-old high school teacher from Brooklyn, NY -- were getting along great.

Kat told Sabrina she had a dream in which Alicia tried to kill her, and she was hoping it wasn't foreshadowing something to come in the game. Salani then received Tree Mail and learned the upcoming Reward Challenge was going to be a "backyard game" and have something to do with sweets.

The Salani and Manono tribes then met Jeff to compete in the Reward Challenge. Before Jeff explained the rules, Salani realized Manono had voted out Monica, and Sabrina was especially shocked. She acknowledged the fact the men on the Manono tribe were probably going to vote out all the women so the girls would end up being the minority going into the merge.

Jeff then instructed both tribes to race one at a time to the top of a stack of crates and then throw a coconut, bouncing it off a trampoline in attempt to hit a target. Each tribe member to make a shot must then race back to the start in order to let the next person go. The first tribe to knock out all five targets would win reward and receive the opportunity to go to an ice cream parlor and eat as much ice cream as they desired.

Salani sat out Sabrina to even up the numbers. And although the competition was very close, Salani ended up winning the challenge.

"Christina was kind of just gradually going through the challenge and that kind of ticked me off. I'm just so ready for Christina to be gone. You can quit or you can wait and go home in two days, or you can jump in the fire. Whatever's more convenient for you, but she just drives me insane. I hate her voice. I hate her face. I hate everything about her," Colton explained.

Once the tribes got back to their camps, Salani enjoyed their reward and were on a high and winning streak. They felt they'd be a very strong, united tribe going into the next Immunity Challenge.

Meanwhile, Manono made Christina feel as if she was the "cockroach" to be squashed in the tribe. She felt like an outcast and knew she was poorly positioned in the tribe, but she insisted she wasn't a quitter and had no intention to give up.

Jonas, who was not making fun of Christina, said he knew that Colton and Alicia got pleasure out of twisting the knife further into Christina and making things personal when she already knew she was on the chopping block and their next target.

Christina, in an attempt to save herself, then talked to Leif and Jonas. She told them Alicia had an alliance with four girls on the other side and if the merge was to happen any time soon, she would re-join forces with them and turn her back on the guys -- ultimately giving the girls the numbers.

Christina told Leif and Jonas that if they wanted to win the game, they should consider voting Alicia out. She made them feel like their necks would be on the line if they chose to support Alicia and Colton's decisions and continue to follow them.

"It's possible what Christina is saying is really true because I don't have a whole lot of detail on Alicia. That's my issue. I don't know her status with the women on the other side. It's a huge red flag," Jonas said.

Alicia overheard Christina talking strategy with the guys to get her out of the game and she was extremely pissed. Alicia kept repeating the fact that the game was over for Christina, and Christina called Alicia out for still having loyalty to her all-female alliance. Alicia got very defensive, and Alicia announced Christina's behavior was "wack" and kept complaining about her.

"Christina is for one, telling the guys the a partial truth. I do have an alliance with the girls, which Jonas doesn't need to know. So yeah, I'm going to give her a hard time. It's just too much paranoia for me and I can't handle that. I need to be in control, so that's why she's going," Alicia explained.

On Night 15, Colton admitted he was suffering from a very bad headache, and Christina stayed by his side for two reasons.

"Colton has a tension headache and his stomach hurts and if someone that's sick needs help, I'm going to be there for them. I think this is actually coming to my advantage too as far as strategy goes because Colton will realize that I'm actually a good person and I'm not this bad person that Alicia portrays me to be," Christina said.

Colton admitted Christina stepped in and took on a motherly role but he knew she was probably just being nice to save herself and stay in the game.

The next day, Tarzan told Colton he was dehydrated and needed to drink water before his condition got worse. Colton was suffering from severe abdominal pain and couldn't keep food down, while he was also very dizzy. Tarzan assumed it was the early stages of appendicitis.

Afterward, Christina found Colton lying on the ground and began to freak out because she didn't realize he was in that much pain. She then sought out medical treatment for him, and Jeff quickly arrived with two medics. The doctor believed it might have been appendicitis and ruled out constipation. She said it would be too risky to allow Colton to stay in the game without taking him to the hospital and administering the necessary tests.

One Jeff told Colton he had to be pulled from the game because of his condition, he then asked the castaway what he planned to do with the hidden Immunity Idol he had found. Colton asked if he could give it to someone, and Jeff assured him the decision was all his.

Jeff then called the rest of the Manono tribe over and announced that Colton was going to be removed from the game. Jonas began to cry, saying it "killed him" to see Colton go because he knew how much of a Survivor fan he really was. Jonas said if he was in Colton's shoes, he'd be heartbroken.

Jeff asked Colton if he had any final words to say to his tribemates, and Colton told them to "Go get em," referencing the other tribe. He also told Manono he was going to keep his idol as a souvenir and to eventually let Sabrina -- who had originally given him the idol -- know of his move.

Alicia was not happy with Colton's decision, because she thought he'd give the idol to her since they had worked so closely with each other. She felt it was a selfish choice and threw her into the fire. Meanwhile, Jonas said his original plan with Colton was to get rid of Christina, but now that he had more power in the game, he felt he should vote off Alicia next.

On Day 17, both the Salani and Manono tribes received Tree Mail telling them they must go to Tribal Council although they hadn't won or lost an Immunity Challenge. The Salani tribe, unaware of Colton's situation, speculated what the voting system might be. Some castaways wondered whether everyone would be able to vote to send someone home or if the Manono tribe was going to have the power to vote someone off Salani. However, no one really knew the truth.

Alicia was worried the Manono tribe would vote her off now that Colton wasn't in the picture. Christina, Jonas and Leif planned to vote out Alicia out, but Tarzan was not onboard with the plan. However, Jonas didn't care because he wanted to take "a bull by the horns and become the ring leader," Christina was also ready to fight.

Tarzan then told Leif he believed Christina was dangerous, but Leif felt that exact same way about Alicia. The pair bickered about what choice to make, and Tarzan begged him to vote Christina out. Leif was clearly stuck in the middle and didn't know what to do.

That night, Survivor: One World's Manono and Salani tribe members arrived for their first Tribal Council altogether, the sixth session of the season overall.

Jeff told both tribes about Colton's medical evacuation, and Troyzan and Kim admitted they were sad about Colton's elimination.

Alicia then told Sabrina how Colton had kept the idol for himself, and Sabrina acknowledged Colton wanted to be the only one to play it. Chelsea, however, was wary of the situation, because she assumed the Salani tribe actually had the hidden Immunity Idol in their possession and were lying about it.

Jeff then told the tribes to drop their buffs because they'd be merging as one tribe -- 12 people fighting for a million dollars. At that point, it became an individual game and Troyzan immediately started counting numbers. There were six men and six women remaining, and Troy said each castaway was going to have his or her own agenda of who to align with and who to vote off.

Jeff explained the newly-merged tribe must return to the beach where they had all started the game at two separate camps, and Manono's belongings would be there waiting for them.