Dexter figures out who the Ice Truck Killer is, along with a dark secret from his troubled past. Meanwhile, La Guerta is replaced with a new boss and Angel figures out a way how to track the killer while he's still in hospital.

Things are really beginning to heat up for Dexter: Doakes' suspicions about him are growing, his victims are escaping, and his body dump site has been found. Meanwhile Paul is troubling Rita over the missing shoe and Debra is going through trauma over the Ice Truck killer incident.

Dexter is finding it hard to have closure on killing his brother. There is a new FBI agent to head the "Bay Harbor Butcher" case. Debra is finding it tough to put the past behind her.

Dexter sets his sights on a new victim: a murderer so repulsive it seems only fitting that he's a used-car salesman. Dexter's been unable to lie to Rita about his midnight activities, which has her thinking that he's a drug addict. She's threatened to leave him if he doesn't commit to a 12-step program to deal with his supposed addiction. While in this recovery, though, Dexter meets a sexy, mysterious woman named Lila.

Rita's estranged mother visits and senses something is wrong with Dexter. Masuka thinks he's developed a lead in the Bay Harbor Butcher case, which has Dexter concerned. Angel's interrogation of a witness crosses a line.