"The Ice Truck Killer" strikes again and new homicide officer Debra is assigned the case, but she gets reprimanded for violating the chain of command; flashbacks offer insight into Dexter's homicidal tendencies and take him back to his first time "taking out the garbage"; Doakes gets on the bad side of a drug kingpin.

The squad identifies the Ice Truck Killer; Rita's ex-husband, an abusive addict, is paroled.

Dexter figures out who the Ice Truck Killer is, along with a dark secret from his troubled past. Meanwhile, La Guerta is replaced with a new boss and Angel figures out a way how to track the killer while he's still in hospital.

Things are really beginning to heat up for Dexter: Doakes' suspicions about him are growing, his victims are escaping, and his body dump site has been found. Meanwhile Paul is troubling Rita over the missing shoe and Debra is going through trauma over the Ice Truck killer incident.

Dexter manages to get Doakes off his back. He devises a plan to get the police in another direction. Lila and Dex's relationship intensifies, and he has some interaction with Rita and the kids.

Lila Tournay finds Sgt. James Doakes imprisoned in an Everglades cabin and learns from him that her object of affection, Dexter Morgan, is the serial killer known as the "Bay Harbor Butcher". She decides to help Dexter and kills Doakes by setting the cabin on fire. Meanwhile, Dexter's sister Debra questions whether her career is more important than her relationship with FBI Special Agent Frank Lundy.