A former hunter named Martin, who is currently institutionalized, calls Sam and Dean for help investigating a case in the mental hospital. The brothers get themselves admitted as patients to check out the mysterious monster that is attacking the patients, but their incarceration pushes both to the breaking point as they unleash their inner demons against each other.

Sam asks a hunter named Martin to keep an eye on Benny without telling Dean. However, when Martin tells Sam there was a vampire kill and he thinks Benny is responsible, Dean defends his friend. When Martin decides to take things into his own hands, things get messy and Dean is forced to make a very hard decision.