After a car accident Earl is put in a coma and finds himself in an alternate world shown as a sitcom, while his friends try to keep him alive.

Nothing can get Earl out of his coma, so Randy turns to a young faith healer from their past. However, the boy says that he no longer heals people because he discovered how Earl lived his life after he "healed" him the first time.

When Joy cons Make-A-Wish to send a celebrity to her trailer, Earl remembers a wish he stole from a dying child and decides it's time to cross him off the list. When he returns to the kid's home, he finds that little Buddy has exceeded all of the doctors' expectations and is still alive. Buddy asks Earl to produce his movie and suddenly all of Camden County find themselves starring in a high-octane action film. Randy surprises everyone when his acting skills get rave reviews.

Danny Glover guest stars as Darnell's father who comes looking for him in Camden only to raise Earl and Randy's suspicions. However, a family reunion leads to father and son partaking in one last undercover mission.