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Can you point me in the direction of where you read this? I can't find it anywhere.
It’s almost certainly on a curve. The point of the exam was to “accelerate our knowledge acquisition” anyway. That’s why it’s pass/fail to start with.
It sounds like you’re generally a good test taker dude(tte), I wouldn’t worry about passing. You had a bad ITE in the middle of an ICU month and you took steps by studying consistently since then.
If you (and me) don’t get top 10 percentile and if you’re interested in a super competitive fellowship then it might be a bit harder but there’s still time for the 2nd ITE to circulate to programs at the tail end of the interview cycle, if I’m not mistaken.