With Grammy near death, Frank exits the house but walks in on Ian and Mickey locked in passion at the Kash and Grab; when Lip drops out of school, Fiona proposes a deal where they both earn their diplomas, but Lip acts out and gets himself expelled when he realizes that Karen plans to sell their baby to the highest bidder.

It's a typical Gallagher nontraditional Thanksgiving that includes a suicide attempt by Monica, Carl shooting a bald eagle, and Karen going into labor; Steve agrees to allow Estefania's boyfriend to steal his identity; Ian sleeps with a businessman named Ned; Frank tries to get his share of his mother's money from his brother Clayton.

Frank tells Carl he has cancer to scam a charity foundation; Lip hunts down pedophiles in the neighborhood.

The city of Chicago gives notice that they're doing work on the sewer main. The problem? Aunt Ginger's bones are still buried in the yard and Frank needs to find her before the city does. Meanwhile, Fiona is picked on at work for not satisfying her boss. When Fiona fails to provide the support Jimmy needs, he turns to Este. Molly learns that she's a boy and Ned asks Ian to rob his wife's house.

Fiona juggles her job and a crush. Lip heads back home.

Fiona's plans to announce her marriage unravel. Mickey asks for Lip's help.

Fiona is thrown into chaos by the return of Jimmy. Ian takes Mickey's baby.

Gus tells Fiona he's leaving to go on tour. Frank seeks revenge on Sammi.