When Archer discovers the chemotherapy drugs he’s been taking for his cancer are counterfeit (mainly consisting of sucrose and Zima), he sets out to destroy the criminals behind the scheme.
This episode provides examples of:
- Ass Shove: Archer interrogates a mobster by shoving a grenade up his ass and releasing the pin. He ends up killing him despite getting the information because he had mistaken an frag grenade for a smoke one.
- Asshole Victim: Even though he was a sick old man in a wheelchair, Delaney still sold fake medication to cancer patients. He got what was coming to him when Archer shot him.
- Bullying a Dragon:
- One of the Irish mobsters at Archer's mercy laughs at him having breast cancer... after Archer had already killed one of them. It ends with a shotgun blast to the mobster's face.
- Delaney is so convinced Archer won't shoot him, he tells him a story about meeting his mother at a singles retreat, including an... interesting use of beads. Between this and his belief that Archer is really that "honorable", Delaney obviously doesn't know him well. (See Horrible Judge of Character).
- Cool Old Lady: Ruth, the cancer patient who Archer strikes up an Odd Friendship with, is sweet enough to bring out the non-Jerkass side of Archer.
- Did Not Think This Through: Archer ignores Lana's warning to not take his medicine mid-rampage, only to get sick a moment later in a nearby bathroom.
- Double Take: Cyril and Krieger have this reaction when Malory says that the latter is a genetic clone of Hitler.
- Even Evil Has Standards: Malory murdered the cleaning ladies in cold blood just because they unionized, but even she's appalled at the idea someone's making money off fake cancer medication. She is also upset when Archer tells her his cancer has been growing.
- Mikey might be a member of the Irish mafia helping run a phony medicine scam, but he thought it was faking treatment for male pattern baldness. Once he hears they were selling fake cancer medication he's stunned and spills the beans.
- Dr. Krieger is willing to put his coworkers and innocent people in harm's way in order to advance his experiments (or to satisfy his dark sexual fetishes) but he also showed a genuine concern for Archer's health when he noticed his cancer medication wasn't showing any of the common side effects like hair loss or nausea which made him test the medication and find out it was fake. He was also saddened when Archer reminded him that "little kids get cancer".
- Freudian Threat: Archer threatens to slowly slide his knife up a pharmacist's urethra unless he gives him the information he wants. Needless to say, he spills the beans so fast that Archer can barely keep up.Lana: Well, you did threaten to shove a knife up his dickhole, which again, ick.
- Horrible Judge of Character: When Archer threatens to kill him, Delaney argue he won't really do it because he's "honor-bound". More specifically, he figures that just because Archer happened to only killed armed men during his rampage, that means he wouldn't dare shoot a frail, unarmed old man in a wheelchair. He doesn't know Archer very well.
- Kick the Dog: At the end of the episode, Malory says that she liked Sterling better when he had cancer, causing him to call her out on it.
- Knee Capping: The workers packing the drugs get knee-capped when they refuse to say who's running the operation.
- Lock-and-Load Montage: Sterling does it in front of the pharmacist to get him to talk about the fake chemo drugs.
- Meaningful Echo: Before he decides to kill off Delaney, Archer asks him "Did you see 'Regis' this morning?". If anything, it's a meaningful reminder to himself that he's going on this rampage for Ruth, who should've been alive to see it just one more day.
- Misplaced Retribution: One of the mobsters at the poker game calls Lana a "bull dyke." Lana responds by shooting everyone but him.
- Mistaken for Gay: Archer forces a mobster to apologise to Lana for calling her a homophobic slur. He claims he didn't realise she was gay. Archer explains she's not and simply has big hands.
- Not What I Signed Up For: One of the mooks Archer interrogates says he thought they were stealing cream for male pattern baldness, not cancer medication. He's upset when he finds out the truth.
- Odd Friendship: Archer and Ruth, a woman most likely old enough to be his mom, bonded over their shared illnesses, and Archer's rampage is ignited not just for his sake, but because Ruth died thanks to the fake medication.
- Reset Button: Despite Archer's deteriorating condition throughout the episode, the end reveals that he has made a miraculous recovery three months after his recorded rampage due to a complete cancer remission.
- Rage Breaking Point: Archer finally located the head of the fake cancer medicine racket. His rampage started after he and the late Ruth became victims of it, but it was after the mastermind makes a comment about how his mother found an... interesting use of beads that he finishes him off.
- Roaring Rampage of Revenge: Invoked, with Archer explicitly calling what he's doing a rampage. He and Lana record his actions into a movie he tentatively titles Terms of Rampagement.
- Running Gag: "Still though..." note
- Shout-Out:
- Archer reenacts Family Feud during his interrogation with the mobsters.
- Archer's confrontation with Delaney is practically a shot-for-shot remake of the famous "Did you see the sunrise?" scene from the season 3 premier of Magnum, P.I.. Cyril even lampshades this, suggesting Archer should name his movie "Magnum P.U.".
- The B-plot with Dr. Krieger possibly being a genetic clone of Adolf Hitler is based on The Boys from Brazil. Pam lampshades this.
- Steel Eardrums: Lana suffers some temporary hearing loss after Archer fires his Sawn-Off Shotgun next to her head. Then a grenade goes off and renders both of them temporarily deaf. Cue a trip to the ENT doctor and both of them sport bandages over their ears for the rest of the episode.
