[quote=Krein]
Are you asking about what happens after someone loses or wins in a Shadow Game? I'm guessing that it's up to the winner to decide what the "Punishment" will be, but if it's something serious like getting put into a coma because the soul got sent to the Shadow Realm, then I'd think both people would have to talk things out.
[/quote]
Not the shadow duels, I mean actually being inside the shadow realm. The shows constantly change the rules regarding what happens there. I personally like the version where the person can summon monsters from their deck as real monsters to protect them self and fight. 

Also, would Sandra be able to dodge a roundhouse kick from behind? Just trying to avoid breaking the autohit rule. Now that Ryu is there as well Bell isn't going to take on the arbitrator. Three on one she is fine with, but four on one is just a pain to deal with.