Allison investigates the death of a local physician. She starts seeing a man in her visions whom she belives to be the Angel of Death, and after a near-death experience, she is convinced that Death is after her. After seeing a man on a sign who looks exactly like Death from her dream, Allison further investigates and finds that this man is tied to the physician's death, compelling her to figure out what it is exactly that Death wants from her.
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Warning: Medium season 2 episode 21 guide may contain spoilers