Emu, a clumsy pediatrics intern takes young Sota, who is suffering a mysterious illness, to the announcement event of the latest "Mighty Action X", Sota's favorite game. Emu became a medical doctor in order to save someone's life because his life had been saved once through surgery.

However, a mysterious virus emerges from Sota's body and the event turns into chaos. Emu hears from Asuna, an employee of the Ministry of Health, that transforming into a Kamen Rider can save the patient. Emu takes on this "operation" and inserts the Mighty Action X Gashat into the Gamer Driver, transforming into Kamen Rider Ex-Aid!

Unable to control the powers of the new "Drago Knight Hunter Z" Gashat only by himself, Emu discovers that to do so he must convince the other Kamen Riders into join forces with him. Once he tricks them into doing so, the time comes for their showdown with Graphite.