They arrive at the fort. Elsa is still riding. She's in great pain, but you wouldn't know it.

There are two boys standing guard at the fort. Elsa just can't be bothered. She passes out and falls off of her horse.

They need the surgeon.

Elsa has swelling in her liver. The surgeon, who we'll call Major, cannot help. He has no staff. He suggests taking them to another fort. Major says if her liver is knicked, it will be even more difficult for her to kick the likely sepsis.

They decide to keep moving, trying to head to Laramie.

The fort is owned and operated by the gang they killed.

James doesn't have any hope and needs to talk with Margaret.

James reiterates that where Elsa dies is where they stay so that Margaret can visit her any time she wants. She'll visit every day until she's right beside her.

The wagon train is in a quandry. Josef can't continue. Others choose not to continue, as well. The cattle are being left behind. Colton and Wade say goodbye.

Elsa imagines that their future lays in the abyss of unmarked graves along the Oregon Trail.

Margaret sings to Elsa as she shivers at night, wiping her forehead for comfort.

Josef's leg is a mess. His wife isn't any better. Thomas tells Josef of his two choices. Die with his leg or live without it. Josef chooses to live.

James and Shea trade stories about their wives and how women trick them into doing what they want. Thomas arrives to rope them into helping with Josef.

They're going to get him drung and then remove his leg. Josef gets drunk, laughs and cries, and then falls to the ground. He's not ready, he says. Shea tells him just to get some rest. They're not doing anything.

They all prepare to hold him down, one limb at a time. Shea says he'll try to kick the life out of Margaret, who doesn't believe he'll wake up. Shea knows differently.

It's unfortunate how much they know about doing it.

After Josef screams in agony, Elsa wakes up. She's cold and wants to sit by the fire.

Elsa's fever has broken. Her color is back, too. There is still pan, but not like it was. She wants some bacon.

Elsa finds Montana to be beautiful. James says it would be hard to beat.

After a chat about death and wondering what happened to the pioneers, they never spoke of it again.

The pioneers who chose to remain behind are all beaten, robbed, raped, and otherwise dead or left for dead.

Food is plentiful in Montana.

Elsa goes from feeling well to doubling over in pain. Despite that pain, when she sees Indians coming, she races away until she falls to the ground, the Indians just upon her.

Spotted Eagle finds her and sees that she's hurt. He'll get Elsa the doctor she needs. They need to put her in the creek. It will stop the bleeding, he says.

He sends for a doctor and tells Shea to call for James. James is moving toward an Indian village with a pack horse. He spots Shea down below.

Two women are walking Elsa toward the river. Once immersed, she's shivering, but she trusts them, not saying a word as they manipulate the bleeding wound.

Elsa has to stop partway to the medicine man's tent.

She's being treated when James arrives. Spotted Eagle tells James that the Lakota dip their arrows in manure, and an arrow to the liver is fatal. James knows. He needs to find a homestead fast because where she dies is where they stay.

Spotted Eagle knows a place for the family. He says the winters are cruel, but the summers thrive. I just realized that Yellowstone comes from Elsa.

Spotted Eagle tells James that in seven generations, his people will rise up and take it from them. James says that in seven generations, they can have it.

Spotted Eagle hopes that John will remember him, allowing his family to hunt the valley, which is a week's ride away. A week that Elsa doesn't have.

Elsa is crying. James lied to her. She weeps into his arms. She wants to choose the spot. He promises.

Noemi's children haven't spoken since their father died. But they talk to Thomas all the time. They just won't talk to her. But Thomas has comforting words for her about the end of the journey.

Shea joins James at the campfire. He tells James about losing his daughter. He wants to make sure that James doesn't blame himself even if it's true. Elsa has outlived them all.

James is going to take Elsa ahead to the valley so that she can choose her spot. He has no idea how he can tell Margaret that he'll take her daughter away from her to die. He asks Shea to explain the logic to her since all she'll her from James is the cruelty.

Shea tells Margaret what's coming. She doesn't hear a question. He figures the question is whether she's willing to say goodbye to Elsa here. She's angry at James, but when she sees James sobbing by the fire, she rethinks it.

He apologizes to her, but she just turns her back and walks away.

Josef's wife has died, too.

So much heartbreak.

Margaret and Elsa say goodbye. Elsa gets on the horse behind her father. Shea hopes Elsa proves them all wrong, and she laughs it all off in two years, wondering why they ever doubted her.

James is riding Lightning, and towing his own horse behind.

For two days, they ride. Elsa looks worse as the trip continues. She's the back-saddle driver, urging her father where to go until she's found her spot. It's the Dutton tree. James and Elsa lay beside the tree. She asks him about his first memory, and it's a game of peek-a-boo. Elsa's first story was about a bird pecking the ground so it didn't have to wait for it to soften. She dies watching a bird, sayin gshe understands.

One year later, Josef has found his homestead.

Thomas and Noemi are in Oregon. They've found theirs, too.

Shea has reached the ocean. He talks to Helen, marveling at the beauty of it. In response, a hummingbird dances around his head. He kills himself.

Sam waits for Elsa. She appears, but only in her heaven.