A wealthy toy mogul is the suspect of the sexual abuse of a child. His prosecution impeded by the child's parents who refuse to produce their child for questioning to avoid losing the millions paid through a non-disclosure agreement, and by the discovery that a second accusation was falsified in an attempt to extort a settlement.

Detectives try to decipher a motive for the strangulation of a Bronx assistant DA in an area where hookers stroll. When the death of the prosecutor looks staged using information gleaned from a co-worker's caseload, Novak endangers her career to obtain a confession.

The detectives and the district attorney get played first by the teenage murderer of a young boy, and then by the victim's father, who uses his professional expertise to escape punishment for avenging his son's death.

Benson saves April Troost from committing suicide, but feels responsible when Troost dies during the trial of the man she accuses of raping her and getting her pregnant. It isn't long before detectives learn that Barclay Pallister wasn't the only man April picked up in a bar who has no recollection of sleeping with her, and the squad realizes that Troost was no victim. Their search takes them from prospective parents looking to adopt her child to the men she drugged and accosted to the sperm center she used to work at, which ends up at the center of the case.

This crossover continues on Law & Order S16E02 Flaw (II).

After Jamie Hoskins falsely accuses two classmates of rape after a consensual act then hits nine pedestrians during an attempted suicide, medical tests reveal she has been taking medication for bipolar disorder and stopped her pills a week earlier. Jamie is charged with murder and released on her own recognizance after she agrees to take her medication, but after rock star Derek Lord, who is well known for his negative views on psychiatry, gets involved and begins spearheading her defense, Jamie again stops taking her medication. Novak is sympathetic to Jamie, but Jamie's insistence on following Derek Lord's advice leaves Novak with no choice but to take the case to trial.

Stabler ends out being out of commission after a perpetrator high on PCP throws him through a window at the station, so Benson teams up with Munch and Tutuola to investigate a mysterious packet of photos. The photographs lead them to both a suspected child pornographer and a junkie burgler, but after Benson takes ill during the investigation, the team realises that there is more than child pornography at stake as their investigation soon reveals that Seth Millstead wasn't into little boys at all, but had been using the tenants of the apartment building in an experiment for a new pesticide.

The only witness to a young woman's horrific beating is her mentally challenged daughter.