The Ice Truck Killer leaves a clue at the scene where Dexter has dispatched his latest victim, and Dexter is worried that someone might have witnessed his killing. Rita is trying to deal with her ex-husband.

Dexter appears to be connected to a psychiatrist suspected of murdering a suicidal patient.

Things are really beginning to heat up for Dexter: Doakes' suspicions about him are growing, his victims are escaping, and his body dump site has been found. Meanwhile Paul is troubling Rita over the missing shoe and Debra is going through trauma over the Ice Truck killer incident.

Dexter sets his sights on a new victim: a murderer so repulsive it seems only fitting that he's a used-car salesman. Dexter's been unable to lie to Rita about his midnight activities, which has her thinking that he's a drug addict. She's threatened to leave him if he doesn't commit to a 12-step program to deal with his supposed addiction. While in this recovery, though, Dexter meets a sexy, mysterious woman named Lila.