Plot summary
Randy decides that putting Earl in long-term care is not the best decision, so he takes care of Earl himself. Joy and Darnell do not approve of Randy's newly adopted responsibility of taking care of his brother, but let it play out for a bit. Randy feels that if they work together to complete tasks off the list, then Earl might recover even faster. Together they tackle the next task off Earl's list. Earl and Randy messed with two kids in the past, handicapped thanks to skydiving gone wrong, and Randy makes up for by having comatose Earl "participate" in a handicapped sport with some fancy remote controls. Meanwhile, Earl and his sitcom world counterparts have suddenly aged into senior citizens, allowing Earl to discover he's living in a fake world and finally emerge from his coma.
Credits
Adapted from Wikipedia contributors, My Name Is Earl season 3. HTML formatting and reference markers removed.