When a massive earthquake rocks Los Angeles, the first responders rush to rescue victims from a crumbling high-rise hotel both under the rubble and high above the ground. Athena must deal with wreckage from a collapsed freeway overpass and Maddie is thrown into the fire as she faces her first crisis as a 911 dispatcher.

The first responders continue to deal with the fallout of a massive earthquake and its deadly aftershocks. Athena tries to keep the peace as Bobby and team continue to rescue victims from a collapsing high-rise hotel, both under the rubble and high above the ground. Maddie 's first day on the job involves helping a pregnant couple deliver their baby safely.

Buck jumps back into the dating scene but fears he will return to his old ways; a woman goes to great extremes on a freeway overpass to get the attention of her husband; a couple have a car accident on their wedding day.

The 118 deals with a situation where a stunt driver is placed in a precarious position, two mail bombs are detonated and a teenaged social influencer loses their mind; Eddie's family decides to visit; Buck confronts a deadly series of events.