Ruthie entered the Big Brother Johto house and was placed on the Good Team. She was immediately seen for being a positive and uplifting force on the Good Team. Ruthie was nominated for every week of the pre-jury phase of the game except for Week 6 when Julia Rae ensured that Ruthie would make it to jury, giving her a break from the block. Of the five times that she was nominated in a row, she was only a final nominee one of them. Week 1 during the first ever Battle of the Block competition, Ruthie battled alongside Aly for safety and won, ensuring their safety for the week. During the second week of the game, Ruthie was a final nominee next to Bridgette and despite the Evil Team's attempts to get the vote to flip, Ruthie stayed with a comfortable margin. During Week 3, Ruthie was nominated yet again and when she lost the Battle of the Block competition she was saved by Rhea's Power of Veto. When she was nominated next to Aly again for the second time during Week 4, the pair beat Randy and Jacob in a tense Battle of the Block competition and secured safety together for the second time. Week 5 seemed to be a downward spiral for Ruthie when she was a final nominee next to ally Rhea and it seemed as if one of them would certainly be leaving pre-jury, but by a miracle, Slade decided to walk from the game and Ruthie and her ally were both spared. The next few weeks came a little bit easier for Ruthie as she didn't touch the block for seven more weeks. A notable achievement was her Week 9 Power of Veto win which she refrained from using the Veto, sealing Kaitlyn's fate as the second juror. It was during the Special Live Eviction that Ruthie's core alliance, Slade's Puppets came to be decimated by Connor and Rhea. Each member of the alliance was evicted back to back to back and after the Special Live Eviction, Ruthie found herself alone in the game at Final six. When she lost the Power of Veto competition, her fate was sealed and she was evicted by a unanimous vote. From jury, Ruthie was known for rooting for the eventual winner, Kaleigh.