In the aftermath of the car crash, the surviving Winchesters go to the hospital, where one is stalked by a Reaper while another must consider sacrificing himself to save the others.

Reapers take a break from work, and that means no one can die. But the escorts to the next world aren't off getting some R&R, unless you call being held hostage by a demon restful and relaxing.

Dean seeks out Death to help get Sam's soul back. Death tells Dean he will help Sam if Dean will agree to act as Death for 24 hours. Meanwhile, Sam decides he doesn't want his soul back and asks Balthazar for a protective spell to keep his soul out of his body. Balthazar tells Sam he needs the blood of his father for the spell to work and since John Winchester is dead, Sam decides Bobby is the next best thing.

After a suicide angel takes out an ice cream shop to kill one enemy angel, Sam and Dean investigate and discover that the target was one of Metatron's angels... and that Castiel may be responsible. Meanwhile, Metatron tries to consolidate his hold over the angel factions with promises that he will restore them to Heaven.