With the Bugster infection spreading rapidly, the authorities can't hide the disease from the public anymore. After Kiriya's death, Kuroto starts targeting the other Kamen Riders for their Gashats, but Parad approaches Emu, offering him a blank double Gashat which will allows him to attain a new level of power…

Ex-Aid, now as two, get into an argument about defeating Genm or the Aranbura Bugster. They both seem to be Emu, but Genm and the Bugster take this opportunity to escape. Emu reverts to his human form and falls unconscious.

Wanting to save Dr. Shirakawa, Emu asks Hiiro to perform a surgery on his cancer. He has his Gashat back and faces the Aranbura Bugster to also cure Shirakawa's game illness. Will the surgery succeed? What will happen to Ex-Aid?!