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This match was physical and entertaining...until the end.
The Lumberjack match, which I thought was going to be the worst part of the match, was actually solid. The lumberjacks' involvement plus Cena's dive from the top rope on everybody was awesome. Ryback took that part via pinfall.
The Table match was solid as well. Some physical moves and good back-and-forth, even though it was dumb that Ryback putting Cena through the announce table didn't count because the second stage "hadn't started yet."
The Ambulance match part, up until the finish, was also entertaining and physical. However, having Ryback go in the ambulance through the roof breaking was way too farfetched. The metal on cars and trucks are built to withstand impact from other cards during an accident. However, an Attitude Adjustment on Ryback was impact enough to have him go through the ceiling?
I call shenanigans.