After Kira’s life is threatened, Sarah is on the warpath, but Dr. Leekie makes her think twice about her plans for revenge. Meanwhile, Cosima faces the truth about Delphine, forcing her to choose sides. Now, it’s up to Sarah to decide the killer’s fate, but the truth about where Sarah came from changes everything.

While Alison struggles with Aynsley's death and Cosima grapples with the worsening symptoms of her mysterious sickness, Sarah enlists Art’s help to find Kira and is shocked when she learns where the trail leads.

Sarah regresses to old habits while struggling to cope with the consequences of her decisions —reconnecting with Beth on a dark night of the soul. Back at the lab, Cosima, haunted by vicious memories and news of Delphine, attempts a dangerous Hail Mary to find a cure. At the Hendrixes, Alison is more determined than ever to create normalcy for her kids. As she forges ahead with a birthday party, Donnie is caught in the Neolution crosshairs.

As Alison is terrified by Neolution threats made against Donnie, Sarah and Mrs. S question her loyalty to her sisters. While Sarah is distracted, Siobhan sneaks out to seek vengeance. Meanwhile, Cosima and Susan Duncan work together in a final attempt to discover a cure.

With Susan Duncan deposed, Sarah finds herself in the same position as Rachel — under the heel of a new HBIC — causing the archenemies to come together for the greater good. Cosima and Susan butt heads on the ethical implications of human experiments. Meanwhile, when the Hendrixes' legal counsel, Adele, further investigates Donnie’s case, she begins to suspect Felix is keeping deep secrets. Helena’s arrival forces Felix to make a difficult decision.

Stuck on the sidelines with Neolutionists crawling all over her home, Alison seeks to return to her community center, but Bailey Downs has moved on from her. As she flounders to take back some semblance of control, the ghost of friendships' past rears its handsome head. Art and his new partner show up at the Hendrix residence to continue their search for Helena, forcing Art to make a difficult moral judgement.