A woman claiming to have been the victim of rape commits suicide while she is still in the emergency room.

The squad is at a loss on what to do with a violent homicide when Stabler's son points out that the event is straight out of a video game. Interviewing the game's creators leads them to a former employee, who then leads them (with a few other steps along the way) to a teenage couple who claim to be unable to distinguish fantasy from reality.

After an 18-year-old girl is kidnapped, psychic Sebastian Ballentine comes forward claiming to have information on the killings. Stabler refuses to believe that Ballentine is a real psychic, and is convinced that the hints he is dropping about the case indicate he is somehow involved.

The discovery of the bodies of two young gay men who were both meth addicts as well as victims of a new strain of AIDS that can kill its victims in less than a year leads to an investigation. Tutuola learns that his son, Ken, is gay, and has difficulty accepting it, even though he and Benson end up going to Ken for help with infiltrating an anti-meth group. The group's leader, Gabriel, soon becomes their top suspect when the squad realises that the two men died because they passed the disease on.