The first challenge tests the artists ability and the second challenge is to cover bad ink with new art.
Using live models as inspiration, the artists create classic pin-up girl tattoos; tensions rise when the artists must swap designs.
The final three contestants tattoo returning clients with different symbols of love; Margaret Cho.
The artist must create a tattoo that commemorates a life-changing event in their client's life.
The artist must design tattoos for Dean McDermott and Tori Spelling; matching tattoos for best friends who are tattoo virgins.