Shemp finds himself afflicted with a troublesome medical condition — a swollen vein in his leg, prompting concerns of potential amputation.

A chance encounter leads the Stooges to form an unlikely camaraderie with Barker, unaware of his true nature as an outlaw holding the Arizona Kid, Nell's paramour, captive in the depths of the saloon's basement.

With the situation escalating and Larry's life hanging in the balance, the Arizona Kid embarks on a mission to summon the United States Cavalry for assistance.

Through a combination of resourcefulness and fortitude, the Stooges emerge triumphant, thwarting Barker's nefarious machinations and securing the release of the Arizona Kid.

Like the previous short, Fright Night, Out West was originally written for Curly, but had to be adjusted for Shemp upon his return to the act.