After being menaced by a series of gruesome ghosts no one else can see, Spike finally comes face to face with the spectral being who's been trying to drag him into hell.
Clark dreams he is being pursued by a frightened young girl who needs his help. However, after he discovers she is actually a comatose neighbor who should have woken up years ago, he enlists Lana's help to uncover the truth - which puts Lana in grave danger. Meanwhile, Lionel demands that Lex undergo a full psychological evaluation before he hires him.
The metrosexual fad has hit South Park thanks to the Queer Eye Guys, and all the men in town are affected, except for Kyle and his Dad. Stan, Kenny, and Cartman give Kyle a makeover, and Gerald isn't far behind. Soon the women of South Park grow tired of the fad, as does Mr. Garrison.
A North Korean pianist announces his intention to defect in the Oval Office. While the staff passionately debate his request they also fight to get the President's choice of Vice President nominated by a new and hostile Speaker of the House.
A popular Broadway composer is accused of murder. His psychiatrist blames it on a traumatic episode he had as a teenager, but McCoy discovers that the doctor may also have a motive.
After finding a dead baby in a plastic bag in the sewer, the detectives find the mother, also dead, in her nearby apartment. After talking to her doctor the detectives discover that the mother had planned to give her baby up for adoption and the adoptive parents were paying her doctor's bills. During the investigation they meet Casey Novak, the new A.D.A.
The detectives investigate a strangulation murder that may be tied to one of Diane Russell's cases; Russell consults a doctor when she discovers a lump in her breast; Medavoy and Jones investigate an arson linked to two boys.
The girls get permission to open a lemonade stand to earn money. When the neighbors start a better lemonade stand in competition, Jim, Cheryl and the others up the competition.
Jim tells Cheryl she is making a big deal of Ruby doing homework. Cheryl tells him that he should try it. Since Jim does not want to, he talks to Ruby's teacher to give less homework because Cheryl cannot read. His story gets back to Cheryl.
Michael Kyle longs for a traditional life, but his day-trader wife Janet, gangsta rap-worshipping son Michael Jr., and brooding daughters Claire and Kady make his dream just that ... a dream.
When the bank insists that the firm pay off its loan immediately, Nick is forced to try to collect unpaid fees from delinquent clients. Meanwhile, Lulu's estranged father returns and asks her for money.
Rory accepts a classmate's invitation to go out on her first date since breaking up with Jess, while her roomates engage in a war of wills. Meanwhile, Lorelai invites Luke over to share the traditional Gilmore movie night she used to have with Rory, although she is somewhat disturbed after discovering that the designer she just hired to decorate the inn used to work for Emily.
This episode demonstrates the production processes for wheel loaders, vegetable oil, hand tools and cotton swabs, and shows how each is made.
Lucas asks Keith to play with him in the annual Father and Son basketball game, and realizes he got the better father figure after Dan publicly humiliates Nathan on the court. Also, Peyton has a hard time dealing with the anniversary of her mother's death and finds a comforting ally in Whitey.
Matt Lucas and David Walliams take a comic look at life in Britain. There is good news for Dennis, and Marjorie Dawes bumps into Paul while out shopping.
Christian learns that Kimber and Merril are engaged. Escobar continues to have the surgeons do things for him. Liz is sent to Bermuda after being shot in the leg by one of Escobar's people. Sean goes to kill Escobar. Escobar makes a deal with Sean a new face for their freedom. Christian learns, in the delivery room, that he is not the father of Gina's baby. Julia returns to get the paternity test she had done a while ago. The doctors do surgery on Escobar, and give him the face of a criminal even higher than Gallardo on the Most Wanted List - Armand Ortiz. Ortiz is arrested at the airport for bank robbing and killing a federal agent.
Wiegel steaks out her own house by putting her dead stuffed cat on her own lawn. Her plan is to catch the kids who keep coming into her yard and playing pranks. Jones dies and the cast watches his tape that he made just in case he did die. The tape after revealing things about everyone tells them how Jones would want them all to drink shots for him. Clementine Johnson goes to a vandalism call and finds gothic teenagers. She talks to them and tells them how there is no Satan.
Dylan plays a dangerous game against two gamblers, but not everything is as real as it seems.