The stage takes place at nighttime, in a desert zone spanning a mountain which features a trail cover in entrails (a reference to the name) and classic western elements such as a mine and a graveyard. Gex's disguise here is that of a poncho-wearing cowboy, but his hat differs between the two versions of the game. A donkey can be ridden here throughout the level in order to climb the steep hills. Most of the enemies are undead versions of Western archetypes, but the scorpions from Enter the Gecko return here as well.
- The Organ Trail
- Visit the World's Largest Mound of Poop
- Collect 5 of a Kind
- Climb the Mountain
Post-level cutscene (PS1)
Xtra: "Hey there, you’re lookin’ mighty tired after a long day on the prairie. Are you one of them urban cowboys?"
Gex: (US) "Shucks no, darlin'. I was thinkin' of headin' into town, getting my tongue scraped."/(UK)"Shucks no, darlin’. But I was a-thinkin’ of headin’ into town and get my tongue scraped."
Xtra: "Hey Quick Draw, I have another idea. Why don’t you get back to rescuing me?"
Gex: (US) "Rescue shmescue! This lizard wants action!"/(UK) "Rescue shmescue! This lizard wants a little action!"