Carter has a difficult day when he has to identify a dead teenager and notify his parents. It doesn't help that he notifies the wrong family. Doug woos Carol, despite Taglieri's presence in her life. Benton clashes with brother-in-law Walt after he neglects family duties.

Carter and Benton treat a suicidal transgender woman. Doug feels like a 'kept man' in his relationship with Linda Farrell. A patient entrusts Carol with the particulars in an accident. Cvetic continues to battle his demons, ending up wandering down the middle of a crowded street.

A severe blizzard leaves the ER utterly devoid of patients, leaving the staff free to goof off. In the middle of their fun, a call comes from dispatch, informing the ER of a 40-car pile-up with dozens of casualties. The ER goes from being deserted to capacity. All surgeons are called in. Bob surprises everyone with a quick and life-saving decision. A new doctor, Angela Hicks, arrives just at the right time. Ross and Linda return from the Caribbean just as Carol makes a surprise announcement.

Carter trains one of Benton's new students, Deb Chen. Hathaway has her hands full with an emotionally challenged patient who's obsessed with colors. A sociologist provokes people to measure their reaction times for a study. Kayson brings charges against Susan in the Vennerbeck death, leading Morganstern to question Susan's assertiveness. Benton and Walt hunt for Peter's missing mother.

Mark and Jennifer struggle to remain together as Mark has moved in with her in Milwaukee. Doug coaches Jake's little league team. Chloe's irresponsibility wears Susan down. Carter asks Benton to fill out a recommendation for the ER sub-I. Carol and Tag try to write their wedding vows; he becomes upset when Carol invites Diane Leeds, knowing that she'll bring Doug. Peter exhibits a growing attraction for Jeanie. Susan discovers what happened to Div when she spies his picture in a cabbie's dating service photo book. The staff discovers that Carter comes from a wealthy background.

Carter gets his first patient...and loses him. Susan's feud with Kerry Weaver intensifies when Weaver demands all of Susan's procedures be cleared with her. Chloe abandons Little Susie again for a lucrative career in the flea market business. Carol finishes her paramedic recertification by picking up a very overweight, lethargic man. Shep hits on Carol. Jeanie ends her relationship with Benton. Wendy conducts interviews with various ER staffers for an article on Dr. Greene. Dr. Ross cares for a four-year-old Asian boy with AIDS.

Doug's heroics earn him a second chance as Bernstein and Morganstern ask him to stay on. Doug and Mark clash when each treats a seriously injured patient and want to use the same equipment. Benton learns that Jeanie has separated from Al. After missing an earlier diagnosis, Carter overcompensates on his next patient and catches a break when the test results reveal something. Shep gets on Carol's bad side when he makes disparaging remarks about the people who make botched suicide attempts. Doug gets a phone call from his estranged father.

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.

Carter engages in competition with new surgical resident-in-training Dale Edson upon learning that residents will be evaluated and graded; only the top ones advancing to second year. It doesn't help that Dale once had a relationship with Harper. Mark flirts with infomercial director Iris. Peter faces the fallout from his altercation with Doug when surgeons begin dropping him from procedures. Shep begins exhibiting uncontrolled hostility, first to a patient being abusive with Carol, then a pedestrian. Susan and Chloe try to reach an agreement regarding Little Susie.

Encouraged by Carol, Mark finally asks Susan out. Benton tries to save a boy, despite the fact Doug thinks he's brain dead.

Carol has to fire two of the nurses. Meanwhile, Gant feels Benton is too hard on him.

Benton tries to find out if everything's OK with Carla's baby. Carter tries to get a man operated, despite the fact Anspaugh thinks he will die no matter what.

Benton's attempts to get away to Carla and Reese on Christmas Eve are continually thwarted by Romano, culminating in Benton forcing the drunken Romano away from a patient. Carter believes he's found a Christmas miracle when a teenage girl with a rare blood type needs an organ donation at the same time a brain-dead patient with the same blood type is in the hospital. After witnessing Dr. Lee rifling through Greene's locker, Jerry becomes convinced that she's stalking Mark.