Facing suspension, Dawson gets a hand from the same girl she saved through the procedures that landed her in front of the disciplinary board. Lieutenant Casey finds his fuse shortening as Detective Voight stops at nothing to get him to retract his statement. However, when Casey lays his life on the line during an apartment fire, he may have unknowingly caught the break he was needing.

Everyone in the firehouse is ordered to take a drug test after a call to a daycare center exposes them to a makeshift meth lab, and Severide stalls, not wanting his injury, or the painkillers he takes, to be discovered. Meanwhile, Truck and Squad find themselves pinned down by gunfire while trying to help the victim of a gang shooting, and a deep-fried turkey fire grows from small to explosive when a garage catches fire. Elsewhere, Dawson saves a bleeding man and Casey delivers a baby on the scene of a massive car pileup on the freeway.

After he's injured in a terrible fire at an auto machine shop, Jose Vargas is forced to go on disability and leave his life as a firefighter behind - a task he finds incredibly difficult. Chief Boden tries to help a suspected teenage firebug. Also, Severide receives an enticing invitation from Renee, a woman who he saved from a car crash incident involving live electrical wires. Meanwhile, Cruz tries to save his younger brother Leon from the gang he is involved with.

A troubled Chief Boden goes to the police when a man dies in a hardware store fire set by Ernie, the troubled teenage firebug he’s been trying to help, and his Uncle Ray. Meanwhile, Severide decides on his future and reaches out to his father. Elsewhere, Otis finds camaraderie when he fills in for a few shifts at the slowest firehouse in the city, and makes a decision of his own, while Dawson and Shay find themselves in a bad predicament during a call to a tenement.