Mandi Bierly
September 13, 2013 AT 04:45 PM EDT

Things are never easy in Hell on Wheels (except on the rare occasion that Anson Mount’s Cullen is drunk and doing the Two-Step). In this week’s episode, a cholera epidemic strikes, and Cullen must find fresh water before his workers die. Watch a sneak peek below. He’s not looking so good himself.

Hell on Wheels airs Saturday at 9 p.m. ET on AMC.

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