Contains spoilers for this episode and earlier episodes.
Silvio kills Burt Gervasi after discovering that he has been negotiating with New York against Tony's leadership. Phil orders attacks on Tony, Silvio and Bobby, and Agent Harris warns Tony that he is in danger. Tony authorizes an attempt on Phil using hired Italian gunmen. The assignment passes through several intermediaries, but Phil is already hiding. The gunmen mistake the father of Phil's mistress for their target and kill both him and his daughter. Tony recognizes that the threat remains and orders his men into hiding. Before they can all move, New York's attacks reach two of his closest associates.
Bobby is shot dead while shopping for a model train. Silvio is severely wounded outside the Bada Bing, while Patsy escapes. Tony tells Carmela that the family must leave home and forces A.J. to get out of bed and pack. A.J. has recently returned from psychiatric care and begun seeing Rhiannon, whom he met at the hospital. Elsewhere, Melfi becomes furious when Kupferberg identifies Tony as her patient during dinner with colleagues. After reading the study they discussed about criminal patients exploiting therapy, she ends Tony's treatment at their next appointment. Tony retreats to a safe house with members of his crew. Upstairs, he lies fully dressed with Bobby's birthday rifle and recalls their conversation about sudden death.