Derek tells Peyton to give Lucas a chance just as Brooke tries to make up with him. Rachel asks Haley to tutor her when she discovers she is failing a class. And Nathan has more trouble with Daunte.

As the Ravens prepare for the championship, Lucas learns Nathan intends to throw the game and decides on a risky plan to even the odds. Karen insists Deb show up for her son's final game and tries to help her get there. Also Dan makes a last plea with Daunte.

After a cardiac incident, Lucas has a dream in which the spirit of Keith visits and shows him how much one life can affect the lives of others, with a nod to “It's a Wonderful Life.” Elsewhere, Hayley is the victim of an accident and Dan helps out Nathan.

The aftermath of the series of unfortunate events at Tree Hill begins. Lucas returns to his everyday life, following his heart attack, and tries to rekindle his relationship with Peyton. However, things are rougher for Haley when she discovers that Nathan had more involvement in her accident than she could have ever imagined.

Haley finds herself frustrated over her injuries while Skills and Mouth help Nathan find a job as a stripper in order to earn money for the senior prom. Meanwhile, Brooke betrays Rachel in order to get with a new guy and Lucas and Peyton finally reach happiness in their relationship.

A class assignment reveals the deepest secrets and desires of Lucas and the students at Tree Hill High. Worried about college prospects, Skills turns to Haley, while Nathan wrestles with Deb's suicide attempt. Chase learns that Brooke cheated on her calculus exam, while nudity and drugs run rampant in the halls of the school.

Haley confronts Brooke regarding the stolen calculus test. Lucas and Peyton consider taking their relationship to the next level as Peyton and Brooke grow closer. In Deb's absence, Nathan throws a senior party at the Scott House where a sex tape from Nathan's past surfaces.