11. Emily

For violating her probation, Fiona (Emmy Rossum) is driven on a prison bus to a correctional facility for a 90-day sentence. At the facility, Fiona is forced to adapt to her new life, struggling to adjust with the lack of privacy and the dynamics of the prison. Frank (William H. Macy) is revealed to have had a successful liver transplant surgery, although he remains unconscious. Next to him, a little girl named Emily (Aubrey Miller) is awaiting a heart transplant as she suffers cardiomyopathy.

Mickey (Noel Fisher) reluctantly attends his child's christening, although Svetlana (Isidora Goreshter) is upset that Ian (Cameron Monaghan) crashed the ceremony. They host a celebration at the Alibi Room, with Terry (Dennis Cockrum) joining after being paroled from prison. Svetlana demands that Ian leave, but Ian states he will end his affair with Mickey if he leaves and calls him a coward for never coming out. Before Ian leaves, Mickey finally reveals his homosexuality. This causes Terry to attack him, and Ian joins in to defend Mickey. Terry is sent back to prison, while Mickey is spared by a gay police officer.

At school, Debbie (Emma Kenney) is approached by her classmate Henry (Austin Abrams), who shares her interests. Henry tries to initiate a sexual encounter with Debbie, but this is revealed to be a ruse set up by Matty's girlfriend, who circulates images of the prank online. Matty (James Allen McCune) later consoles Debbie over the prank and offers to accompany her to the school dance, which she accepts.

Frank finally awakens, although he mistakes Sheila for his mother, Carl (Ethan Cutkosky) for Lip, and Sammi (Emily Bergl) for Debbie. The doctor explains that the high level of sedatives used will temporarily affect his perception of reality, and asks Sheila and Sammi to be patient with him. After they leave, Frank starts talking with Emily, mistaking her for Fiona, and apologizes for being a bad father. Realizing his state, Emily plays along and they bond. Meanwhile, Lip (Jeremy Allen White) prepares to meet with Amanda (Nichole Sakura) and her parents for dinner.

As Amanda wants the dinner to be as disastrous as possible, Lip allows Carl to get Bonnie's siblings around the house. However, the social worker arrives for a surprise visit, and Lip makes a bad impression. During dinner, Lip displays many of the family's worst qualities, disgusting her parents. Despite the weak state of the house, the social worker admires Lip's determination in watching Bonnie's siblings and approves her visit.

Amanda's father ultimately pays $10,000 to Lip to stop dating Amanda, which he agrees to. Upset, Amanda breaks up with Lip in front of her parents, but this is later revealed to be a ploy, and the two resume dating. Frank leaves his hospital room for food, getting a doctor to give him his cake. When he returns and is placed back on his bed, he overhears a doctor pronouncing Emily as dead. As she is taken away from the room, Frank sadly refers to her as Fiona.