Contains spoilers for this episode and earlier episodes.
Zelmare Roulette and Swanee Capps escape prison and seek shelter with Zelmare's sister, Dibrell Smutny. Dibrell reluctantly lets them stay, bringing the fugitives into Ethelrida's home. The Faddas mourn Donatello, and Gaetano arrives from Italy to challenge Josto's handling of the family business. Josto's men attack the private hospital that rejected his father, but their shooting kills other people and leaves Dr. Harvard alive. Detective Odis Weff investigates the attack while secretly working for Josto, who learns that the intended victim survived.
Loy claims that Donatello promised him the slaughterhouse before dying and sends Doctor Senator to take possession. Gaetano disputes the arrangement and confronts Senator there, refusing to accept the takeover without checking it himself. Josto wants to honour his father's agreements, while Gaetano pushes for violence against the Cannons. Oraetta loses her hospital job after another attempt to poison a patient. At home, she approaches Ethelrida and offers her cleaning work, then makes a pie for the Smutnys. She mixes ipecac into the filling and leaves the pie at their door. Thurman brings it inside as Odis and U.S. Marshal Deafy Wickware arrive with officers. Deafy kicks in the funeral home's door in pursuit of Zelmare and Swanee.