You must kill the person below you, but here's the catch. You must do it creatively.
Ready....GO!
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Velo: First, I gag you. Make sure no one hears you scream. Then, I cut you open with a rusty, dull knife, and remove any vital organs (you will not be under any kind of pain killers). Next, I will break all of your fingers, and your legs. Finally, I will leave for a day. You will have no food, water, or human interaction. Upon returning, I take a fruit peeler (or whatever those things are called), and remove your skin. I throw salt on your skinless body. Finally, I put you out of your misery by poisoning you with a very slow-acting poison. Also, I might gouge your eyes out with a melon baller.