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| Season Name: | Extreme Challenge |
| Season Number: | 4 |
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| Num Episodes: | 18 (including the Reunion special) |
| Network: | MTV |
| Prev Season: | Challenge 2000 |
| Next Season: | Battle of the Seasons |
Real World/Road Rules Extreme Challenge is the fourth season of the MTV reality game show, The Challenge (at the time known as Real World/Road Rules Challenge).
Extreme Challenge is the third and final six-on-six Real World/Road Rules Challenge. The cast was split up into two different six-person teams, one representing The Real World and the other representing Road Rules. The teams traveled via tour bus in the eastern U.S. and Europe competing in different challenges. Each time a team won an individual challenge, money would be added to a Monster.com team bank account. The last mission would be for the right to keep the money collected in the pot, an additional cash prize, and a car.
This was the only season without a regular alumni host/presenter introducing each challenge. Instead, various alumni provided audio clues.
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| Episodes | Mission outcome | Mission MVP | Wheel of Good Stuff | ||||
|---|---|---|---|---|---|---|---|
| Challenge | Winners | Losers | |||||
| 1 | Ring of Fire | Real World | Road Rules | rowspan=2 colspan=2 | |||
| Rope Courses | Road Rules | Real World | |||||
| 2 | Blimp Water Skiing | Real World | Road Rules | Julie | Jeep | ||
| 3 | Fisherman's Wharf | Real World | Road Rules | Kameelah | Fujifilm | ||
| 4 | No Laughing Matter | Real World | Road Rules | Syrus | "Gimme Your Stuff" | ||
| 5 | Rollerball Resurrection | Road Rules | Real World | Christian | Dreamcast | ||
| 7 | Wrestling with the Past | Road Rules | Real World | James | Auto Video Products | ||
| 9 | Sub-Standard | Real World | Road Rules | Syrus | Sea-Doo Watercraft | ||
| 10 | Bring It On | Road Rules | Real World | Emily | "Gimme Your Stuff" | ||
| 11 | Breath-Taking | Road Rules | Real World | Christian | Dreamcast | ||
| 12 | Tough Guy | Real World | Road Rules | Dan | iOmega MP3 | ||
| 13 | Defying Gravity | Real World | Road Rules | Rebecca | Palm Pilot | ||
| 14 | Famous Couples Fashion Show | Real World | Road Rules | Jamie | "Gimme Your Stuff" | ||
| 15 | Medi-Evil | Real World | Road Rules | Julie | Buell Blast Motorcycle | ||
| 15/16 | Operation Human Shield | Real World | Road Rules | colspan=2 | |||
| 16 | Toyota Motosports | Real World | Road Rules | rowspan=2 colspan=2 | |||
| 17 | Race to the Finish | Real World | Road Rules | ||||
Real World
Road Rules
Yellow Team
Black Team
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The reunion special, Real World/Road Rules Extreme Challenge: Cease Fire, aired after the season finale and was attended by the entire cast. It was hosted by Melissa Howard from The Real World: New Orleans and Mark Long from .