What a great premise, a man who's done nothing good with his life suddenly learns about the notion of karma, and attempts to turn his life around. The episode flowed very well, it had the possibility of feeling chopped up, but such wasn't the case.
Ethan Suplee does a great job as Earl's brother Randy. And the amount of beer's needed for certain tasks is a great character quirk. I also enjoyed that they just picked up the maid along the way to join in the karmic escapades.
As for the plot of this episode, it couldn't be executed any better. It took the long held stereotypes such as "I'd never met a gay before" and managed to charmingly turn it around and have Earl accept Kenny and even take him out to a gay bar, which had to be the highlight of the episode. That and Randy's 15 beers-later dance-fest at the club.