Brooke continues to pursue Owen. Haley sees something happening in Peyton's office. Quentin needs to change his negative approach in order to succeed in the season-opening game. Mouth tries to win Millicent back.

Lucas is crushed by devastating news. Quentin is pushed to his limits during a Ravens game. Dan's is second on the donor recipient list to get a new heart. Haley thinks about her decision to release a new album while Brooke's baby undergoes emergency surgery and a shocking truth stuns Peyton, told by Lucas.

The Tree Hill residents are forced to face their fears as Dan turns over on a new leaf and Brooke taking the hardest decision of her life. In the meantime, Haley's career takes a turn and Peyton is visited by somebody from her past. Mouth and Millicent meet a new face. With all, Lucas and Brooke help each other through the struggles.