Makeshift Shivs are use to battle Weak Prison Thugs and can be obtained in the following ways:
- Making Joe Plead Insanity
- Making Quagmire Make Hooch
- Making Prison Peter Complain About Crime
- Making Bruce Leave the Oven On
- Making Bonnie Play On Her Phone
- Making Jerome Binge Eat
- Making Red Coat Chris Show Off His Chops