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Getty Images, Juan Cruz Rabaglia/MTV 2021 Paramount+, Inc.
After her time in Hawaii as one of The Real World's most infamous houseguests, Ruthie competed on three seasons, last appearing in 2006.
Fifteen years later, the 44-year-old transitioned to a career behind the cameras, working as a production coordinator and assistant on dozens of film and TV sets. She's also dabbled in acting, starring in the 2018 film The Rainbow Bridge Motel, which she also co-produced. Dedicated to her sobriety, Ruthie also works the lecture circuit, educating people about substance abuse.