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.

Dawson and Casey deal with legal matters in hopes of remaining Louie's legal guardians. Severide continues in his efforts for a bone marrow procedure to help Anna, but when things don't go as planned, he finds himself slipping back into old habits. Meanwhile, Brett opens up to Dawson and members of Firehouse 51 become competitive, much to the dismay of Chief Boden.

The crossover continues on Chicago P.D. S04E09 Don't Bury This Case (II).

Severide agrees to a bone marrow donation but a work accident throws everything into flux. Casey and Dawson try to find harmony at home. Meanwhile, Otis and Mouch decide to film a PSA encouraging people to join the Chicago Fire Department but hit a creative wall in the process.

Dawson finds it hard to keep her emotions in check during an ambo run involving a pregnant teen. Elsewhere, the firehouse is called to the site of a building fire and Casey is forced to make a split-second decision when two victims are each need of life-saving assistance. In the aftermath, Casey is left to deal with the repercussions. Meanwhile, Severide shares a bond with Anna, as she makes her recovery.

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.

Truck and squad are called to aid in a massive all-city response when an old, ill-equipped factory-turned live/work space quickly turns into a firestorm, trapping countless unsuspecting victims. The dire situation quickly turns personal when it is discovered that one of Chicago PD's own has a family member at the scene.

The crossover continues on Chicago P.D. S04E016 Emotional Proximity (II) and Chicago Justice S01E01 Fake (III).

When similar car accidents uncover the fact that someone may be targeting innocent people, a determined Dawson takes matters into her own hands to help push things along. Severide does everything he can to make Anna feel welcome in her new Chicago surroundings. Herrmann, Kidd and Dawson decide to have Molly's included as a stop in this year's pub crawl. Meanwhile, Casey tends to his Alderman's duties when a persistent constituent asks for his help in resolving an issue.

Casey discovers a new crack house on the block that is harboring a female junkie. Dawson and Brett get assigned a new trainee for the shift. Meanwhile, Severide gets an unexpected visit from his father and Herrmann deals with family issues when his son gets into trouble at school.

When the squad's rig breaks down in the field, Casey reunites with his old friend and colleague Jason Kannell from Squad 6. Dawson and Brett serve their time in retraining. Severide tries to remedy what is going on with Anna and finds support from unlikely sources. As Connie returns from her family engagement, the crew lays bets on how long her temporary replacement Marcy will last.

Casey goes to drastic measures to help his friend Kannell. Lt. Severide helps an old widow come to terms with letting go, but realizes he may be the one needing help. Otis and Cruz deal with surprises when they find a new roommate to move in. Dawson and Brett get crafty to save a young girl.