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