Severide is hiding a serious shoulder injury sustained in the fire that killed Andy Darden, and grapples with his guilt as he fights to rescue a construction worker trapped in a building collapse. Adding to the burden, Darden's wife Heather turns on Severide at the annual firefighters' barbecue, blaming him for her husband's death. A call is made to an accident site at Hancock Tower, where two teenagers are pinned in a vehicle trapped beneath the falling debris of a broken window washer's cart. Meanwhile, Casey and Hallie work to figure out their future together.

Chief Boden is accused of leaving a homeless man to die in a warehouse fire after ordering his men to evacuate the scene, creating negative press and bad feeling within the department. Meanwhile, Lieutenant Severide helps an elderly woman facing some neighborhood problems. Detective Voight ramps up his intimidation tactics aimed at Casey in an attempt to discourage him from testifying against his son. Shay is forced to revisit her heartbreak over her ex-girlfriend Clarice, when she finds herself face-to-face with the ex and her husband during a call. Hermann’s temper flares during a rescue call at a Halloween block party.

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.

A frustrated Severide, turns to an unlikely ally to resolve his current dilemma. Casey begins to find satisfaction in his personal life, while Mills and Dawson face personal challenges. Meanwhile, the squad is called to the scene of a harrowing apartment building collapse.

When a call comes in from the Cook County jail, the squad steps into a volatile predicament and are tasked with trying to defuse an escalating situation. Shay remains hopeful about her baby dreams and Hermann's wife Cindy goes into labor with their fifth child. Meanwhile, Mills and Dawson face key decisions in their personal lives.

A house fire sees the team attempting to save the lives of a couple trapped inside. Chief Boden prepares to start his new family. The combination of life at work and home sees Casey and Dawson drifting apart.

Severide and Dawson unearth shocking evidence about the fire that killed Shay. Elsewhere, the firehouse bonds over a serious car accident, and Chief Boden's father visits, only to give unsolicited parenting advice.

A temporary chief fills in for Boden, who is forced to take some time off for personal reasons.

Herrmann tries to rescue a toddler from a structure fire. Mills discovers unexpected news.

Truck and squad are called to the scene of a car crash that has Mills desperately working to save the life of a driver seriously injured in the wreck. Meanwhile, Casey has some doubts about Jack Nesbitt, whose strip club he is remodeling on the side. Elsewhere, Hermann, Otis, Cruz and Chaplain Orlovsky help get their team ready for the peewee hockey championship, but Herrmann might prove more of an obstacle than the other team.

A tornado threatens Chicago. Chili makes a major mistake, which causes Brett to report her to Boden. Otis asks Dawson to help him solve his women troubles. Severide assists a Department of Homeland Security agent.

Freddie's father begs Herrmann to forgive his son's assault. Casey discovers that a makeshift shelter housing people displaced by the tornado may close. Casey attends a fund-raiser at the request of an alderman. Dawson and Brett experience repercussions after telling Boden about Chili's erratic behavior.

Lt. Casey and Dawson apply for permanent adoption of Louie, but quickly discover a hurdle. Firefighter-turned-medical student Jeff Clarke approaches Lt. Severide with an interesting proposition. With hopes of reinvigorating business at the bar, Otis convinces a skeptical Herrmann to throw a bash in celebration of the milestone 100th anniversary of Molly's, but not without complications.

When truck and squad are summoned to the scene of a dangerous accident, Chief Boden makes a split-second decision that overrides Chief Anderson, the incident commander whose house was the first to respond to the call. Feeling his authority was undercut and his reputation damaged, Anderson uses his power to make things miserable for Boden and all of House 51 feels the repercussions.

Kidd, Seager and Carver investigate a fire at the city stables. Kylie clashes with some of the firefighters over changes due to budget cuts. Herrmann struggles to keep it together as Cindy's condition worsens.