Casey faces pressure to cover for a cop's son, who was responsible for a drunken-driving accident that left a teenager paralyzed. Meanwhile, Severide ignores his doctor's warnings that his neck injury may never heal if he doesn't seek treatment; and Mills must choose between working at the fire department full-time or helping his mom with her restaurant.

Chief Boden is accused of leaving a homeless man to die in a warehouse fire after ordering his men to evacuate the scene, creating negative press and bad feeling within the department. Meanwhile, Lieutenant Severide helps an elderly woman facing some neighborhood problems. Detective Voight ramps up his intimidation tactics aimed at Casey in an attempt to discourage him from testifying against his son. Shay is forced to revisit her heartbreak over her ex-girlfriend Clarice, when she finds herself face-to-face with the ex and her husband during a call. Hermann’s temper flares during a rescue call at a Halloween block party.

Everyone in the firehouse is ordered to take a drug test after a call to a daycare center exposes them to a makeshift meth lab, and Severide stalls, not wanting his injury, or the painkillers he takes, to be discovered. Meanwhile, Truck and Squad find themselves pinned down by gunfire while trying to help the victim of a gang shooting, and a deep-fried turkey fire grows from small to explosive when a garage catches fire. Elsewhere, Dawson saves a bleeding man and Casey delivers a baby on the scene of a massive car pileup on the freeway.

At the site of a train accident, Peter Mills becomes deeply upset when he observes the dead body of a young victim. Unable to shake his emotional distress about the event, he questions his future as a firefighter. Dawson and Shay save a 6-year-old girl whose mother is abusing her – but their confrontation leads the woman to resort to dire actions. Meanwhile, Severide aggravates his injury while rescuing a heart attack victim and Shay sends Clarice, her married, pregnant ex-girlfriend, back home to her husband.

A troubled Chief Boden goes to the police when a man dies in a hardware store fire set by Ernie, the troubled teenage firebug he’s been trying to help, and his Uncle Ray. Meanwhile, Severide decides on his future and reaches out to his father. Elsewhere, Otis finds camaraderie when he fills in for a few shifts at the slowest firehouse in the city, and makes a decision of his own, while Dawson and Shay find themselves in a bad predicament during a call to a tenement.

Severide finds that he shares a familiar past with Eric Whaley, the Lieutenant who was brought into the firehouse to help out. Dawson lets Shay in on her secret, while Casey deals with family issues. Meanwhile, a bad batch of heroin on the streets has Boden and the team scrambling, while Clarice and Shay find they have a new problem to overcome.

The anguish that haunts Cruz over his previous actions boils over, as he puts himself and his fellow firefighters in jeopardy. Casey and his sister Christie try to solve their issues with their mother and each other. Meanwhile, Severide reaches out again to an important person from his past as a favor to Lieutenant Whaley and the squad gains new perspective after assisting the bomb squad on an extremely dangerous call.