Plot summary
The Gallaghers prepare for Thanksgiving, but a depressed Monica does not want to leave her bed. Forcing her to take a shower, Frank decides to give her cocaine to lift her up. They subsequently visit Clayton to get some of Peggy's money from him, but he does not fall for Monica's seduction.
Steve picks up Marco, reuniting him with Estefania. Marco and Estefania then have sex at every possible place, annoying Steve and Lip. Upon learning that Steve was married to Estefania, Marco prepares to kill him. In response, Steve agrees to allow Marco to take his apartment and steal his identity. Lip then decides to move in with Mandy, resuming their sexual relationship. Her brothers ask Lip to take them to a liquor store, which he reluctantly agrees to. However, the visit is actually a planned robbery, with the cashier surprising the brothers by pulling a shotgun. Lip then decides to leave the car, forcing the Milkovich siblings to escape in the car themselves. Ian goes to a gay club and sleeps with an older businessman who calls himself Ned.
Karen informs Sheila that she knows about her affair with Jody, only to be surprised when her water breaks. They take her to the hospital, and Lip meets them there, having filmed a movie for when the child grows up. Meanwhile, as the Gallaghers dine for Thanksgiving, Monica excuses herself from the table; she then slits her wrists in the kitchen in a suicide attempt. As Steve tries to stop the bleeding, Frank walks out of the house. While Monica is sedated in the hospital, the family moves to Karen's room to see her baby.
Karen successfully gives birth, but the family is taken aback when they see the baby is Asian and has Down syndrome. Karen refuses to hold her baby, and an upset Lip storms out after Karen reveals that the father is most likely Timmy Wong. Lip informs the adoptive parents of the baby, and they decide to not adopt him, prompting Lip to angrily leave and destroy the movie. Later that night, Sheila steals the baby and flees with Jody on a motorcycle. In the streets, a distraught Frank tries to sleep on a sidewalk.
Credits
Adapted from Wikipedia contributors, Just Like the Pilgrims Intended. Paragraphs and formatting adjusted; illustrations, reference markers, block quotations and non-story material omitted.