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While Sam hangs on the edge of life and death, Dean appeals to the fallen angels for help. Unfortunately, most of them only see Dean as a means to get to Castiel and exact bloody vengeance on the one who caused them to Fall. Meanwhile, Sam wrestles with his inner demons and Castiel learns what it means to be human.
Sam's Doctor: I'm afraid that's in God's hands now.
Dean: You're a doctor. You're a--a medical professional. You're trying to tell me that my brother's life is in God's hands? What, is that supposed to be a comfort?
Sam's Doctor: I'm sorry.
Dean: God has nothing to do with this equation at all.
Sam's Doctor: I didn't mean...
Dean: That's not good enough!
Dean: Cas, are you there? Sammy's hurt. He's hurt, uh, he's hurt pretty bad. And, um... I know you think that I'm pissed at you. Okay, but I don't care that the angels fell. So whatever you did or didn't do, it doesn't matter. Okay, we'll work it out. Please, man, I need you here.
Bobby: You gotta let go of fightin' and scratchin', and lookin' for loopholes. Because that ain't happenin'.
Sam: So... so what, I just die?
Bobby: Just die? All the good you've done, all the people you've saved, all the sacrifices you've made. You saved the world, son. How many people can say that? How many people can say that they have left this godforsaken hunk of dirt that much a better place? What you call dyin', I call leavin' a legacy.
Dean: Anybody ever tell you you hit like an angel?
Sam: You've been driving around with me passed out in the passenger's seat for a day?
Dean: Oh, I mean, I stopped, you know, let a few Japanese tourists take some pictures. Nobody got too handsy.