Aside from a love for hoops, it would seem that Lucas and Nathan are two young men with little in common, but they are bound by the dark secret that they share the same father. Nathan is the star of the high school basketball team and local town hero, while Lucas is the only child of a single working mom. Now the two boys' lives collide when a twist of fate puts Lucas on Nathan's team and the half-brothers compete, not only for control of the court, but also for the heart of Nathan's beautiful girlfriend Peyton.

While holding a vigil at Lucas' bedside as he lays in a coma, Karen meets her son's new girlfriend and learns from Deb that she is divorcing Dan. Most shocking of all, Karen is horrified to discover that Keith was drinking while driving at the time of the accident. Meanwhile, Nathan tries to win Haley back after she dumps him.

After his near-death experience, Lucas decides he made the wrong choice between Brooke and Peyton so he breaks things off with Brooke and secretly rekindles his romance with Peyton. However, the truth becomes obvious after he is rushed to the emergency room again and the girls come face to face in the hospital. Meanwhile, unable to pay his mortgage after paying Lucas' hospital bill, Keith puts his garage up for sale.

Lucas and Nathan bear the brunt of Dan's abuse as he coaches them into the playoffs, pushing both of them to their breaking points. Haley is stunned after Dan threatens her, causing her to reconsider her relationship with Nathan. Meanwhile, Whitey learns that his medical condition may be more serious than he first expected, and Dan learns a shocking secret from Deb.