Bowersox auditioned for
American Idol in
Chicago, Illinois. She sang "
Piece of My Heart". Guest judge
Shania Twain commented that she had a "raw, natural talent." On March 2, 2010, Bowersox was hospitalized due to
Diabetic ketoacidosis (DKA) from
type 1 diabetes, forcing a last minute switch in scheduling to give her extra time to recuperate. Bowersox confirmed the illness on the May 19, 2010 results show during an interview with host
Ryan Seacrest. The men competed that day instead of the women. She sang the next day and impressed all of the judges. The following week, her strong performance prompted
Simon Cowell to state, "Right now, you are the one everyone has to beat." After
Siobhan Magnus's elimination from the top 6 of
American Idol, Bowersox became the last remaining female contestant in the competition. Bowersox was the first female contestant to make it to the finale since
Jordin Sparks won the title in 2007. She is also the first contestant in
American Idol history to have one of their original songs played on the show, or at least during their hometown package. Crystal's original song "Holy Toledo" was played on the May 19 Top 3 Results show as the background music for her homecoming package - when she returned to Toledo, Ohio and Elliston, Ohio the previous weekend - and segued into her live performance of the same song at "Bowerstock". During her time on
Idol, Bowersox dated Tony Kusian, but the couple broke up just hours before the
Idol finale. On the final performance day, in
Simon Cowell's final critique on
American Idol, he called her performance of "
Up to the Mountain" "outstanding" and "by far, the best performance and song of the night". On May 26, 2010, Bowersox was named runner-up to winner
Lee DeWyze. She announced that after her
Idol career, she wants to bring more awareness to type 1 diabetes. Bowersox is the third
Idol Runner-Up (preceded by
Clay Aiken and
David Archuleta) to never be in the Bottom 3 or Bottom 2.
Performances • Due to the judges using their one 'save' for
Michael Lynche, the Top 9 remained intact for another week. • Though Crystal Bowersox was the last contestant announced to be 'safe' and moving on to the Top 3,
Ryan Seacrest stressed on the Top 4 Results Night that 'safe' contestants would be announced "in no particular order." Thus, the audience has no way of knowing which of the Top 3 was the second-lowest vote-getter that night after
Michael Lynche, who was eliminated. • Song selected by
Ellen DeGeneres. ==Post-
Idol career==