The ER staffers are in decidedly unfestive moods as Christmas arrives. Carol's spirits are lifted by a Santa-like patient. Mark is outraged when Jenn decides to stay in Milwaukee over Christmas. Benton and Carter score points with Vucelich when Carter convinces an older gentleman, Ruby, to include his wife in Vucelich's study. Mark gives a deposition in the O'Brien case. The death of a priest threatens to start a gang war. Weaver receives a surprise visit from an African friend. A Holocaust survivor, the victim of a carjacking, brings Chanukah to the ER.

Mark is riddled with self doubt as the hospital prepares to settle the O'Brien suit. Kerry appoints herself as Susan's personal mentor. Carol mind a bucketful of expensive worms. Doug balks at counseling a teenage boy who thinks he might be gay. Benton uncovers some disturbing information concerning Vucelich's study. Carter steals a diagnosis from Harper.