I always knew the boys would end up in a mental hospital someday, after everything they’ve seen, done. And tonight they check themselves in, in the name of hunting a monster, but in the process discover that maybe they have some mental issues of their own.
Dean actually does the checking in of Sam, whose feeling a little depressed about the Apocalypse and having started it, but who can blame the guy he did put in motion the end of the freaking world! Doc Fuller examines the boys and both are admitted under Nurse Karla’s watchful eye. They’re actually there not because a bout of depression or guilt over the Apocalypse or even the death of Ellen and Jo, but to save fellow hunter Martin Creaser.
The man is in horrible shape, more than just sleep deprived. The hospital has been plagued with deaths, that on paper are called suicides but he knows they aren’t, because this is Supernatural and nothing is ever that simple. They’re the work of a monster, he just isn’t sure which kind. Sam and Martin are taken to morning session, while Dean is told he’ll attend a different session because he’s too co-dependent on Sam. Poor Dean.
During morning session, one patient, Ted wants to talk about monsters, but Dr. Fuller quickly shuts him down, because monsters don’t exist. Meanwhile Dean is playing chess with himself, when his new doctor Dr. Cartwright comes to check on him, played by Lucy Lawless. She’s evil, I’m sure of it. Dean and Doc Xena exchange questions, which brings up Dean’s Daddy issues.
A depressed Dean meets back up with Sam, and a female patient, Wendy, awaits a kiss from him, gotta love this girl. She slaps him on the butt and walks away, Dean decides maybe things aren’t so bad.
The boys go to see Ted, but he’s dead before they can get there of course. So it’s off to the morgue they go to examine the body. Sam gets down to probing while Dean is the look out, and finds that the brain has been sucked dry.
When the boys tell Martin what they’ve found, he knows what they’re hunting finally, a Wraith. Silver burns, like a werewolf, but a mirror will reveal their true form, easy peasy.
While Dean is checking out the patients in a corridor mirror, Dr. Xena is back with more questions. Asking what the rest of us have been asking. How do you do it, why can’t anyone else someone else hunt the monsters and save anyone. And Dean delivers the answer we’ve known all along, because if he doesn’t do it, no one else will. At which point I just go awww, and then Dean sees that Dr. Fuller is the wraith ruining the moment.
Sam acquires some silver-plated scalpels when Wendy strikes again, kissing Sam this time. She’s decided she wants him because he’s bigger. Who is this girl, because she may just be my hero. The boys go to Martin with their plan, they plan to go after Dr. Fuller, but Martin bows out. He no longer feels invincible.
The boys proceed, and find Fuller’s office empty, they split up, and Sam ambushes him, cutting his arm in the process. Sam gives chase, Martin arrives stopping him, pointing out that Fuller’s cut isn’t burning, he’s not the wraith.
What would a mental hospital visit be without a little inadvertent truth, which comes by way of a drugged up Sam. He tells Dean that the doctor is real, that he wonders if Dean is going insane, but it’s okay because he’s still his brother and he loves him. Now everyone say it with me, awww. Dean vows to find the real wraith.
Dr. Cartwright is back, with a few more hard truths. She tells him it’s his fault Ellen and Jo died, and that he couldn’t kill Lucifer. He’s a failure. When Dean snaps back at her demanding answers, see evil, an orderly comes over, and has no idea what he’s talking about. Confused Dean see that all the reflections of everyone in the hospital are wraiths. He panics, tries to get out, but ultimately passes out.
When Fuller comes to see Sam, Sam tells him that he’s realized there are no monsters. But Fuller says that he has a bigger problem, hes filled with anger. Sam agrees and asks for a second chance, which Fuller grants it, but warns if there are any further outburst he’ll be transferred.
Sam finds Dean. Dean tells Sam that he’s the problem because of his Lies and Arrogance. Then all the patients tell Sam it’s his fault they’re dying. Sam lashes out wildly at nothing. Dean watches in shock as he’s restrained, wondering what’s happening.
Dean goes to Martin to regroup and figure out what’s happening. He figures that he was infected and the culprit may have been Wendy, and her slobber. They leave Martin’s room, with Dean descending into crazy and intent on not stepping on the cracks. Dean spies Nurse Karla her wraith reflection and her bone spur withdrawing from a patient’s brain into her wrist.
The wraith attacks Dean and Martin, but Martin manages to slash her with a scalpel, driving her away. The patient is still alive, but before they can celebrate, Karla tells the orderlies she was attacked.
Martin takes on the orderlies, so Dean can escape. But Dean is hallucinating hardcore as he follows the wraith’s blood trail. Karla goes after Sam, who’s restrained. He sees her in a mirror and realizes what she is. She taunts him, they were such easy prey, and how the hospital is her own little buffet. As Sam rages at her, she admits that she just enhances the crazy that’s already there, she doesn’t create it, and once the victim has peaked, she feeds. Her bone spur extends, and Dean comes to the rescue. He manages to break off her spur, and as she screams he kills her with a scalpel. The visions and hallucinations fade with her death, and Dean and Sam make their escape.
Back at the Impala, they have one last heart to heart. Sam says that the wraith was right, he is angry at everything. He doesn’t know why he’s mad, but he refuses to blame everyone anymore. Dean tells him that even if he is right he can’t say yes to Lucifer, that he has to bury it all down and keep on trucking. That’s the grand plan to keep from turning out like Martin. Dean asks Sam if he’s with him. Sam assures him that he is, but something about his assurance makes me doubt him.
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