When Joy and Darnell get into an argument over her surprise birthday, Earl jumps at the opportunity to cross off number 183 on his list “Never took Joy’s side”. Meanwhile Joy runs into various problems after trying to return a television set she recently purchased.

Earl attempts to figure out how to make amends to a dead guy that he once locked in a truck. Meanwhile, newlyweds Randy and Catalina go hunting for an apartment.

Earl begins his prison sentence. Meanwhile, Joy tries to repay Earl by taking care of Randy (who is struggling to adjust) and a prison bully is looking for Earl.

Earl and Randy watch the filming of Cops in Camden County where the different situations are slightly related to Earl. Meanwhile, Kenny's hatred for Earl is caught on camera.

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.

Earl remembers his first wedding anniversary and the events that finally lead to their break up, involving Earl's cousin Blake and an invasion of killer bees.

The mystery of the disappearance of the former Crab Shack owner is finally resolved.