It's Beetlejuice and Lydia versus the reigning King and Queen of Gross on a popular Neitherworld TV show. Do our heroes have any chance of winning the big gross-off with Beetlejuice feeling below par?

Lydia is getting ready for the big photo show, but she can't decide which of her pictures is the best. Beetlejuice loves all of her work, and decides he wants to buy whichever photo she picks--but he doesn't have any money. (Un)fortunately, the Deetzes kitchen sink has sprung a leak, so Beetlejuice hatches a plan to pose as a handyman, fix the leak, and make a quick buck. But his Neitherworld tools won't stand for being used.

Lydia trips on Beetlejuice's misplaced marbles and sprains her ankle, so BJ takes her to a Neitherworld hospital for treatment. But a greedy resident doctor is looking to make a quick buck and kidnaps Lydia with the intention of charging admission to the public to witness a 'total body transplant'--with BJ as the surgeon!