Eleven hours into the shift, Robby absorbs the fallout from Langdon's firing by covering his caseload solo and ordering a pharmacy audit. Collins discloses her miscarriage to Robby before managing a surrogate delivery gone wrong — shoulder dystocia, a non-breathing newborn, and a life-threatening postpartum hemorrhage requiring a Bakri balloon. McKay battles Chad's girlfriend over custody while stabilizing a patient with a burst esophageal variceal bleed. Mohan covertly treats a wedding guest's opioid withdrawal with buprenorphine, drawing on her own grief to reach him. Then Collins reveals a past abortion to Robby, and his reaction confirms he was the father — reframing their dynamic across the entire season. Dana tells Robby she is considering quitting. The episode ends with an active shooter report at Pitt Fest, where Robby's quasi-stepson Jak ...