Earl tries to cross of number four off his list “Blew dad’s chance to be elected mayor”. Four years earlier, Carl Hickey ran for mayor to redirect a proposed airplane traffic route over his house and away from the wealthy part of town. Earl unfortunately ruins any chances of his father winning when caught in on tape assaulting a police officer. Earl must now help his father get elected and mend his relationship with his father.

Earl takes on Number 12 on his list "Made a lady think I was God." Millie Banks, she was the manager of Earl's trailer park, he pretended to be the voice of God to get her to stop bothering them.

Earl is given an assignment after attending a prison class which focuses on creative writing: to write a story. Soon Earl realises that writing is harder than he thought.

After a car accident Earl is put in a coma and finds himself in an alternate world shown as a sitcom, while his friends try to keep him alive.

Nothing can get Earl out of his coma, so Randy turns to a young faith healer from their past. However, the boy says that he no longer heals people because he discovered how Earl lived his life after he "healed" him the first time.

When Randy loses his winning lottery ticket, he assumes the event to be a message from Karma, so he starts a list of his own. Meanwhile, Joy is not happy with her cover identity of the witness protection program.