 It was later revealed that Ruas fought under medication for hepatitis and a knee injury, but nonetheless the Japanese press lauded it as one of the biggest upsets ever, and Otsuka won the Tokyo Sports magazine topic award for his victory.Alexander returned to the promotion at PRIDE 8, facing this time Renzo Gracie.Otsuka still competed in pro wrestling around the time and came to the fight with a head injury, but he did not back down.