"Better," she replies, and she's about to start going on about the portal, about how there may be some island intervention, but that there's actual qualitative research on leaving that yielded actual— albeit disastrous— results, when she actually takes in the scene.

"...but first you've gotta tell me that you're not crazy body-switched Spike somehow."

Former creature of the night out of black and shirtless? It's a distinct possibility that there are body switch shenanigans going on.