Brooke is shocked to find out that Samantha is in her room with a boy named Jack. Along with that, Julian asks her to make some clothes for the movie. Peyton tries to get Mia to focus on her follow-up album. Lucas is excited when he travels to Hollywood to meet the director of the movie. Meanwhile, Nathan gets the chance for a pro-basketball try-out. Haley takes Jamie to his school's talent show and Millicent confronts Mouth about Gigi.

Peyton shares some startling news with Lucas, who discovers that Julian has been keeping another secret about the movie. While searching for runaway Sam, Brooke is forced to confront her lingering feelings over her attack. Nathan struggles with his new professional environment.

News of Peyton's condition spreads like wildfire through Tree Hill. Brooke tries to suss out Julian's intentions. Mouth and Millicent strive to keep their relationship going. Meanwhile, Brooke and Lucas babysit Jamie and his friend when Nathan and Haley spend a night out together.

As Lucas and Julian face a setback in their film production, Peyton and Haley team up to help Mia with her new single. Meanwhile, Brooke faces a crisis when Sam is arrested; and Jamie learns the truth about Dan and Keith.

While Julian makes Brooke a surprising offer, Lucas takes Nathan and Jamie to an important place from his past. Meanwhile, Peyton prepares for the future; Sam and Jack go up against the principal who fired Haley; and Skills and Mouth go on a road trip to help Mouth forget Millie.

The parents of Tree Hill face difficult challenges: Lucas finds himself fighting to stay calm when Peyton's pregnancy faces further problems, Nathan and Haley clash over the decision to pull Jamie out of school, and Victoria returns to tempt Brooke back into the business. Meanwhile, Mouth continues to mend his relationship with Millie.