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Hell on Wheels Episode 5 'Elixir of Life' shows bits and events in the Town of Truckee, California including the lives of those in the towns of Wyoming and Laramie.Aside from that, the episode also exposes Chang and his deceptive ways.

Cartermatt reports that season 5 episode 5 of Hell on Wheels shows the people of Laramie are undergoing a few transformations. Eva seemingly realizes that life has to go on after the death of Elam. She diverts her grief to filling her day with challenges in running the brothel despite of the fact that she has to cope with Mickey every time. Things turn a notch higher when she finds out that Louise Ellison is expecting a child. Apparently, the father of the child Louise is bringing is Wyoming's first governor, John Allen Campbell.

TV Fanatic states Season 5 Hell on Wheels 'Elixir of Life' shows an incident where Chang seemingly has regretted his past decisions during the Tin Hau Don Festival. Cullen and Tao were convinced that Chang has changed for the better. All the more when Chang admitted to profiting from the Swede in exchange for weapons. Little did they know that Chang did this as a diversion to lead him to the Swede and in the process away from the Festival and from Tao.

Paste Magazine divulges more of Chang's deceptive schemes where his diversion worked as planned. In the process of Cullen being away Chang hires a white gunman otherwise known as the "snake oil salesman" to kill Tao. With only Chinese as eyewitnesses to the incident there is nothing much that Cullen can do to bring the killer to justice. Chang pointed out the law that Cullen had previously cited where the Chinese cannot testify to the murder.

Ultimately, Hell on Wheels Episode 5 'Elixir Of Life' shows the lives of most of its characters running away from their past in search of a brighter future. Other than running away from their past lives, Hell on Wheels depicts the lives of the characters in Laramie, Cheyenne and Truckee having to choose which side they should stay on. It also looks like the final stage of the railroad is coming to a conclusion.