Similar to the Venus Flytrap from Saw II, a drug-addicted man named Campbell wakes up in the Death Mask and must cut open the area beneath his eye in order to retrieve a key and unlock the harness, before it clamps onto his head. Campbell must traverse a series of rooms, looking for the truth about his son, who is also a drug addict.
Tape: Hello, Campbell. I want to play a game. You flushed your own life down the toilet with your addiction to drugs. The sins of your father pass on to the son, who is also a drug addict. You no longer if he's alive or dead. I can show you the truth. But you must shed some blood.
At the end of the game, the victim is revealed to be Michael. If Campbell got into the glass elevator and saved himself, Michael will be crushed to death by the closing walls. Campbell then meets Jigsaw personally inside a door and Jigsaw tells him that his son is outside the building. Campbell gets very angry and tries to assault Jigsaw but he is impaled by a swinging scythe. Jigsaw then goes to his corpse and says "Game Over". If Michael got into the glass elevator, he will face two doors; one lets him escape Jigsaw's game and publish the story from the case files he collected, while the second door leads him to a Pighead outfit, implying that Michael can become Jigsaw's new accomplice. The choice made is not revealed.
Michael finds the chief of police, Henry Jacobs, strapped to a chair with arevolver perched on a stand and aimed in his mouth, as well as a large blue, yellow and red wooden target placed behind his head. Michael must switch off a panel of light in order to free him, however, each button pressed brings the gun closer to firing. Should he fail, the gun would fire a bullet into Henry's head.
Tape: Hello, Henry. When you were promoted to chief of police, you vowed to rid the streets of drug abuse. But like any politician, you have become part of the problem, instead of the solution. You have defied the oath you made to protect the public. Usually when an officer of the law falls as low as you, they take their own life - they eat the gun. Allow me to help you with that. Each panel has a series of lights that must be switched off. But be careful, each click brings the gun closer to firing. Switch off all the lights on each panel; or it's lights out. Detective Tapp shot himself because he couldn't see the light. This is your chance to see the light - by turning them off. Live or die, Henry.
Michael reaches a drug-addict, Sarah Blalok inside of a tank that is slowly filling with water (Similar to the Cube Trap in Saw V). Michael must drain the water and shut off the electricity by connecting numerous rotating pipes so that he can reach her and open the tank before she drowns.
Tape: Hello Sarah. I want to play a game. You pollute your body with drugs and sell your morals on the street corner for whatever you can get. Detective Tapp gave you a second chance, an escape from your addiction. But after his death, you slipped back into your old ways, didn't you? You ate drowning in your own self-pity. Drain the water from the box by aligning the release pipes. You'd better hurry, I don't think she can hold her breath forever.
Tape: Hello Carla. You are a doctor at a free clinic, tending to people in need. This will be admirable, except for the fact that you steal pharmaceuticals and you sell them on the street. Your legs attached to an elevator, and your arms to the ceiling. Balance the numbers using as due numbers as possible. If you fail, the elevator will fall, tearing you in half. You feed off the addictions is the disparate and the dispute, perpetuating a cycle of addiction that is difficult to break. Well, let's see what your breaking point is.
If Campbell chose to die and Michael reaches the elevator, he makes it to a room with two doors: one will lead him to his freedom and he continues on to publish his stories using the case files he collected during his test, while the other door will lead him to a Pighead outfit because Jigsaw wants Michael to serve justice to the world and become another one of his apprentices. Michael's final choice is not revealed.