Alvarez and Guerra come up with a new way to settle their beef -- Guerra will stab Alvarez in the shoulder without killing him. Morales questions Guerra's decision to do this while he attempts to grieve for his sister. Rebadow gets more bad news about his grandson which prompts him to search for alternatives. Montgomery asks for more hush money from Ryan so Ryan devises a plan to have Montgomery eliminated. Officer Brass returns to Oz to get facts on who attacked him. Ellie O'Connor arrives as the Governor's liaison to Oz only past memories of her failed marriage to McManus return. Schibetta returns and Schillinger shanks Pancamo after learning that he had Hank killed. McManus makes an offer to Said and White to hopefully curb White's erratic and sometimes bizarre behavior. Ryan's mom, Suzanne Fitzgerald comes to Oz to instruct inmates in performance arts.

After recovering from his shank wound, Alvarez gains a follower. Busmalis starts a letter writing campaign to get "Miss Sally's Schoolhouse" back on the air. Rebadow finds a way to raise the money for his grandson's treatment. Jia Kenmin returns to Oz after recovering from the coma induced by a blow from Cyril. After Schillinger's released, Redding and Morales form a pact to eliminate the Italians from the drug trade. Schibetta makes a move on the Aryans only it backfires with terrifying results. Kirk continues planning ways to kill Cloutier. After carrying out messages he "received" from Cloutier, Hoyt confesses to all his past murders. Cloutier makes a move that mystifies everyone.

Guerra kills Alvarez's new follower and the guilt surrounding it forces Alvarez to make a confession to Mukada. Alvarez, Hill and Penders sign up for a seeing-eye dog-training program. Dr. Nathan attacks a patient while having a flashback of her rape. Cyril shanks and kills Li Chien, which gets Cyril sent to solitary and Ryan sent to the cage. During an interaction session Beecher attacks Schillinger after Schillinger denies ever raping him. Redding asks Glynn for control of the kitchen. Hill's grief over his dead mother and divorce from his wife send him back to drugs happily supplied by Poet. Beecher's new podmate is the son of a prominent family Beecher knew well. Because of that, Beecher decides to protect him from the Aryans at all costs.