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The ghosts of kicked skulls past came back to haunt Randy Orton and cost him a chance to win his 14th World Title against WWE Champion Drew McIntyre. Big Show, Christian, Shawn Michaels and Ric Flair — all victims of The Viper in recent months — left their mark in a barbaric Ambulance Match won by McIntyre.
Orton looked for an early kick to the skull after hitting an elevated DDT, but he found his foot restrained by Big Show. The World's Largest Athlete then slammed The Apex Predator through the announce table.
McIntyre took advantage, but he later potentially injured his knee when a Claymore attempt missed the mark, instead ripping the ambulance's driver-side door straight off its hinges.
The hostilities spilled backstage where Orton was met by Christian, who emerged to pummel The Viper, again turning the tables in McIntyre's favor.
Orton and McIntyre later fought to the hood of the ambulance, where Orton savagely gouged the champion's eye before dropping him on the windshield to shatter it.
Both men scaled the top of the ambulance, where Orton found himself blasted by Sweet Chin Music from Michaels, who then tossed The Legend Killer off the top of the vehicle.
Orton caught McIntyre with an RKO out of nowhere on the bare concrete and nearly shut the WWE Champion in the ambulance until Drew overpowered The Viper, hitting a Claymore and finishing him off with a dose of his own medicine — a kick to the skull.
McIntyre packed Orton into the ambulance and closed the doors, and Flair was more than happy to hop in the driver's seat to wheel Orton away, the debt for his sins having been paid handsomely.