Shocked medics comb through trash and blood-spattered debris in a desperate race to find Johnny Depp's severed finger.
'Look at all this awful blood. Holy f**k. Wow, wow, wow,' gasps Debbie Lloyd, a nurse and colleague, as she surveys the estimated $75,000 worth of damage to the rented home where it took place.
The new audio begins around 1pm on March 8, 2015, around an hour after the notorious fight.
It's not clear how it was recorded or who was responsible, though Depp and Heard had a habit of taping their arguments as a form of DIY therapy to listen back to afterwards.
The first voice on the tape belongs to Depp, who shouts angrily: 'I guess you're leaving Monday. I wish you f**king understood what you are and who you are and how you f**ked me over and make me feel sick of myself.
Around 50 minutes into the action we hear Kipper imploring Lloyd to help him find the missing fingertip.
He also tasks her with giving Depp antibiotics to stave off infection, saying the Charlie and the Chocolate Factory actor is 'in a lot pain' and will need a skin graft.
Heard sobs uncontrollably in the background.
Kipper recommends sedating her with the anti-psychotic medicine Seroquel - 100mg rather than her 'usual' 25mg dose - and says someone should fly back to Los Angeles with her as soon as possible to ensure she and Depp are kept apart.
Jerry Judge calls an unidentified female and warns her about the horrifying fight.
'I've seen Johnny bad. I've never seen him this bad. And honestly, he wrecked this place'.
'I mean, it's wrecked. There's windows broken. There is a TV, she did it. There was a cup thrown, it missed.
Judge says he saw scratches on Heard's left arm but adds: 'I've seen those scratches before on a lot of people and as far as I am concerned they're self-inflicted. I'm convinced about it. It was self-inflicted.
He goes on: 'I've been hurt this, I've been hurt that. (indiscernible) She admitted that she hit him first. She actually hit him in the face.
'He has a small burn on the right hand side of his face, which she says, I've seen that yesterday, that she said she said (indiscernible) he put a cigarette and burned his own face with the cigarette he was so bad.'
Depp has said in court filings that it was in fact Heard who stubbed the cigarette out on his cheek as their confrontation spiraled.
Depp's lawyer, Adam Waldman, said he had 'strong evidence' the March 2015 recording was made by Heard.
'Unfortunately for Amber Heard and her media co-conspirators, her own tape further exposes both her big and little lies - down to the time of day, date, and sequence of events that she has claimed under oath,' he said.
'The penalty for perjury in both the UK and US is prison. If you can't do the time, don't audio tape the aftermath of the crime.'