After being taunted for wearing second-hand clothes at "Second Hand Rose" by Vincent's (guest-star Thomas Dekker) new girlfriend, Margot (guest-star Ashley Benson), a distraught Ruthie runs into the bathroom and finds Martin's girlfriend, Zoe (guest-star Katie Cassidy), recovering from a fainting spell as two girls try to help her. Zoe confides that her family doesn't have enough money for food and makes Ruthie promise not to tell anyone.
However, when Martin breaks up with Zoe because he doesn't like her conceited attitude, Zoe thinks Ruthie has betrayed her confidence. Meanwhile, Kevin unsuccessfully tries to create some alone time with Lucy, but is frustrated with Lucy's obsession over Savannah. Also, Eric and Annie suspect that Sam and David are feigning being sick so they can stay up late and eat sweets. Lastly, Sam is jealous of the attention being given to an ill David.
Reverend Eric Camden and his wife Annie have always had their hands full caring for seven children, not to mention the friends, sweethearts and spouses that continually come and go in the Camden household. This year, Eric and Annie will find their family back together in Glenoak with the return of Matt and Simon.
As is often the case when the house is overflowing with Camdens, Eric and Annie are in for a bumpy ride as their children take landmark steps in their lives. Meanwhile, Eric and Annie continue their journey as soul mates, parents and grandparents whose love and respect for each other brings them ever closer.
Through all the ups and downs, Eric and Annie have managed to keep their romance alive and their family together. Not only are they raising their own seven children, they've picked up several additional family members along the way.