Girl group Lakoda Rayne were eliminated during the opening moments of Wednesday night's live results show after it was revealed that they had scored the lowest number of public votes.
"The dream is not over," they said following their exit. "There's still a lot ahead for our group in the future."
Falling into the bottom two during the latter half of the show were Bell and Marcus Canty, with both singers performing again for judges Simon Cowell, LA Reid, Nicole Scherzinger and Paula Abdul with the hope of remaining in the competition.
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Canty performed a cover of Christina Aguilera's 'You Lost Me', while Bell chose The Beatles track 'Don't Let Me Down'. While both received generally positive feedback from the judges, the panel was split on deciding who should go home.
Reid chose to save his own act, Canty, along with Simon Cowell, who sent the vote to deadlock after both Scherzinger and Abdul chose to save Bell.
However, after the public vote was revealed, Bell was sent home.
"I'm actually feeling okay. It was a great ride, it was a wonderful journey. I learned a lot and gave it my all tonight and I'm okay," he said following his exit.
"I'd like to thank everybody who stood behind me - my mum, my family, all of the people out there who voted for me. It's been a great journey and I wouldn't have it any other way."
The acts remaining in the competition alongside Canty are Drew Ryniewicz, Astro, Rachel Crow, Chris Rene, Josh Krajcik and Melanie Amaro.
Tonight's episode also included a performance by Kelly Clarkson with her new single 'What Doesn't Kill You'. Bruno Mars also appeared to perform his track 'It Will Rain' from the Twilight: Breaking Dawn - Part 1 soundtrack.
The X Factor USA continues on Wednesday (November 30) at 8/7c on Fox.
Watch Lakoda Rayne's elimination below:
Watch LeRoy Bell's elimination below:
Browse a gallery of photos from the results show below: