The episode opens up with a car driving down a dark road at night in Greenwood, Delaware. The car approaches a lit home, parks, and a young woman exits. She passes an old shed and walks up the steps to the front door. She unlocks the door and enters the home. She whistles at her pet bird, and then feeds it. She exits. Outside, the shed door is now open.
In the woman’s bedroom, she is in her pajamas and crawls into bed. She turns out the light. A liquid drips from the ceiling, and she turns on the light. The liquid spreads quickly. She gets out of bed, grabs a flashlight and goes up to the attic. She discovers a hole in the roof, where snow is falling through causing leakage. She staples a piece of plastic covering the hole and places a bowl to catch the excess liquid. She goes back downstairs, and as she enters her room she notices water on her floor. She illuminates the spots with the flashlight. As she approaches the bed, a hand grabs her and pulls her underneath. Blood squirts out from under the bed.
At Hannibal’s office, Will talks about his nerves and about Abigail Hobbs killing Nicholas Boyle. They discuss how all three of them have taken a life. Hannibal explains that Will is grieving, but not for the life he took, and rather for the life that’s been taken from him. Hannibal says if Abigail could have started over and left behind the horror of her father, so could have Will. Will feels like he’s fading, and admits he’s still experiencing loss of time and hallucinations. Hannibal asks Will to draw a clock face with numbers and to focus on the moment of now, and as often as Will can think of where he is, and who he is. Will draws the clock illustrating 7:16 p.m. in Baltimore, Maryland. Hannibal notes this a simple way to maintain reality. Will hands the drawing to Hannibal, and the clock is not drawn normally, but with the numbers scattered on the right side.
Will sports fishing gear while carrying fish. He begins cutting open a fish in the kitchen. As Will stares, blood gushes. He goes into a trance and sees himself killing the woman from the beginning. She is bleeding profusely, as he sits on top of her with a blade. He panics and stumbles to her bedroom door, and throws down the knife. He opens the door, and there stand Crawford, Katz, Zeller. and Price. He realizes he didn’t kill the woman, but was just observing the crime scene.
While Will washes his hands, Crawford stares and then goes outside. Will follows. Crawford wants to know what happened. Will simply says he got confused. Crawford expresses his concern for Will, especially since he’s never seen Will so scared. Will shrugs it off as disorientation. He insists he’ll be fine. Crawford’s concern grows, because Will contaminated the crime scene - something he’s never done before. Will admits he thought he was responsible for killing the woman, and got lost in the reconstruction of the crime scene. Crawford is officially concerned, and doesn’t want to break Will. Will talks back and Crawford says, “Fear makes you rude, Will.”
Back in the dead woman’s bedroom, Price reveals the dead woman’s name was Beth LeBeau and that she died from drowning on her own blood. Will speculates the killer was waiting under the bed for Beth. While looking at broken picture frames, Will thinks the killer knew Beth and cared about her. Price finds a clean pair of fingerprints on the knife handle, but they’re Will’s. Katz notices Beth scraped her killer deep enough to get tissue underneath her fingernails, but never drew blood. Zeller says it looks like after the killer cut up her face, that he/she tried to pull her skin back.
Back in Hannibal’s office, Will is distraught over not being able to remember seeing the crime scene, before he imagined himself killing Beth. Will explains there is a grandiosity to the violence he imagined that feels more real than what he knows is true. He knows he didn’t kill her, but he remembers cutting into her and watching her die. Hannibal insists Will needs to get over these delusions that are disguising his reality. Will is aware of what kind of crazy he is, and this isn’t that kind of crazy. He speculates that it could be a seizure, a tumor or a blood clot. Hannibal suggests Will visit a neurologist, but if it’s not physiological, then Will must accept what he’s struggling with - mental illness.
At Noble Hills Health Care Center in Baltimore, Hannibal and Will visit neurologist, Dr. Sutcliffe, who describes Hannibal as a sane man. They were residents together at John Hopkins. Will tells Sutcliffe his headaches started 2-3 months ago - about the same time he entered the field. He can’t recall when the hallucinations began, and slowly became aware that he might not be dreaming.
Will preps to enter an MRI machine. In the observation room, Hannibal diagnoses Will with encephalitis. He tells Sutcliffe he could smell Will’s disease. Sutcliffe inquires why Hannibal didn’t say anything if he suspected all along. Hannibal wanted to be sure, and shows Sutcliffe Will’s clock illustration that reflects spatial neglect. Will enters the MRI machine and imagines himself, as the killer, underneath Beth’s bed. He sees the water dripping, and Beth walking towards her bed. He grabs her and imagines Beth’s cut up face.
Sutcliffe and Hannibal go over Will’s scans and find that the right side of his brain is completely inflamed. His symptoms are only going to get worse. Sutcliffe asks Hannibal what he smells on him, and he simply replies “opportunity.” Sutcliffe tells Will nothing is wrong with him neurologically. Will asks if what he is experiencing is psychological, and Sutcliffe replies scans can’t rule out mental illness. They will run some more tests, but they’ll prove to be just as inconclusive.
Crawford and Hannibal discuss Will. Crawford believes Will will survive and fight his way back to himself. Hannibal thinks that’s not always true. He lies to Crawford about Will’s doctor visit, saying Will is fine and he is a type of man who wants something to be wrong with him that isn’t mental illness.
That night, Will is back at the crime scene. He enters Beth’s home. The bird isn’t in the cage. He goes upstairs and enters the bedroom. He tries to turn on the light, but nothing happens. He observes the dried blood, and notes the time, like Hannibal’s exercise. He sees someone under the bed. The bed flips over. Will grabs the person and pulls skin off her arm, as she runs away. Will is now in the woods. He notes the time, practices Hannibal’s exercise, and repeats “You’re alive!”
Still at Beth’s residence, Will is back in the house with Katz. They enter the bedroom. Will called her, as he’s not entirely sure what he saw was real. He describes pulling the stranger’s skin off her arm like a glove, which determines why she doesn’t bleed - there is no circulation. He can’t remember what he did with the skin. He describes the female as malnourished, deranged, losing function of her liver and having jaundice. Will determines the female can’t see faces, and she might not even know she killed Beth, but she came back to convince herself she didn’t. Katz asks Will if that’s why he returned. He knows he didn’t kill Beth, and just wants to know who did. Katz says Will is the subject of a lot of speculation at the bureau. Some are saying Jack pushed Will right up to the edge and he’s pushing himself over. He notes the killer cannot accept her reality, and he can occasionally identify with that, but feels relatively sane.
Back at Hannibal’s office, Will draws another clock. Hannibal finds the drawing is exactly like Will’s previous clock. He talks with Hannibal about the killer, and admits he lost time again. Hannibal suggests they keep looking for answers, since Sutcliffe didn’t find anything. He wants to run tests of his own. Will is concerned Hannibal might publish something about him, but Hannibal confesses he would only do so, anonymously if it would help someone. Will wants it published posthumously, whether it’s his death or Hannibal’s. Hannibal suggests the killer might think she’s dead, has a hard time recognizing others and can’t trust anyone she once knew to be trustworthy. A mental illness won’t let her. At Will’s home, he’s in bed, the killer looks at his house and stares at him, through the window, while he sleeps.
At the FBI building, Will and Crawford speak with the killer’s mom noting they matched tissue belonging to her daughter’s medical records. The mom reveals Beth and the killer were best friends, until it was unsafe for the killer, Georgia, to go to school. They discuss Georgia’s symptoms. She says the doctor’s never officially told her what was wrong with her daughter. The only thing she truly learned was how little is actually known about mental illness. After the meeting, Crawford feels responsible for Will and his downfall. Crawford wonders why Will is still there, when they both know it’s bad for him. Crawford believes Will’s work has created a sense of stability, and tells Will he doesn’t have to doubt himself and Crawford simultaneously.
Sutcliffe dines at Hannibal’s home, and wants to know what makes Will so rare. It’s his imagination. Sutcliffe compares Will’s mind to Hannibal setting it on fire. Hannibal will put out the fire when it’s necessary, and now that they know what’s wrong with Will, it’ll be easier to hide.
Will is back at the hospital for more tests with Sutcliffe. He enters the MRI machine, and slides right back out. He looks around, gets dressed and walks down the hallway. He spots blood on a door handle. He uses his jacket sleeve to open the door. He finds Sutcliffe murdered and his face cut open. Crawford and the FBI come. Katz tells Will he is clean and there is no way he could have committed murder. The murder weapon has the same tissue as the knife that killed Beth. Will is the common factor. Will runs through what he remembers. Crawford questions if Sutcliffe was in the habit of seeing patients after hours. Will speculates Georgia might have thought Sutcliffe was him, since she can’t see faces. Why is she targeting Will? Will explains he tried to tell her she was alive the other night, and maybe she heard him.
Will is sleeping at home and his dogs begin to growl. He wakes up and peers over the side of his bed. Georgia is underneath. He hops to the floor and tells Georgia he sees her and she needs to think of who she is. She asks Will if she’s alive. She reaches her hand out to Will, and he touches his to hers.
Will visits Georgia at the hospital. Crawford asks Hannibal if Georgia will recover. The risk of infection is high, she lost most her life in fluids and she is being treated like a burn victim, but she will recover mentally. Hannibal is more concerned about Will. Hannibal hopes Georgia won’t remember what she did.
Georgia is in bed. She thinks back to the night of Sutcliffe’s murder and “sees” Hannibal killing the doctor. He walks over and hands her the murder weapon. He leaves. The episode ends.