While this season has been inconsistent, the prison episodes being teriffic, though a couple of poor fillers like another Cops and the Creative Writing, the coma being original, though the sitcom fantasy getting old fast, and Earl rushing into a third doomed marriage, which was funny but repetitive, My Name Is Earl was still very entertaining, and this was a great way to end the season. While there was a lack of the list this year, the show is more about karma in general, which was used very well, and was quite funny as well, and of course the white trash element of the show was still alive and well.
As for this episode, it is hilarious, particularly the Randy/Greta conversations, and Billie going insane after Earl really makes a stupid choice when deciding between a hot wife and a piece of paper. The ending with the trade of Greta for Billie to the Camdenites was an interesting choice and while it wasn't quite believable, it was still very funny, especially Earl's dreams of dying.
Overall, this episode is a great example of the third season, entertaining and original, and now that Earl's back to the list, hopefully next season will stay as fresh as this one has.