While holding a vigil at Lucas' bedside as he lays in a coma, Karen meets her son's new girlfriend and learns from Deb that she is divorcing Dan. Most shocking of all, Karen is horrified to discover that Keith was drinking while driving at the time of the accident. Meanwhile, Nathan tries to win Haley back after she dumps him.

After his near-death experience, Lucas decides he made the wrong choice between Brooke and Peyton so he breaks things off with Brooke and secretly rekindles his romance with Peyton. However, the truth becomes obvious after he is rushed to the emergency room again and the girls come face to face in the hospital. Meanwhile, unable to pay his mortgage after paying Lucas' hospital bill, Keith puts his garage up for sale.