After several happenings with his unconscious body, Earl is finally in Camden County Hospital. While his mind is still in the comatose fantasy sitcom, his friends try out different stimuli to wake him up.
Season 3 Episode 15 of My Name Is Earl resulted in a 0.00 rating in the 18-49 demographic.
Earl Hickey's life has been full of poor choices and mistakes, and upon discovering that he is the holder of a winning lottery ticket, Earl is hit by a car and the ticket blows out of his hand as he lies unconscious in the street.
While recovering in the hospital and watching television, Earl has a karmic epiphany, thanks to Carson Daly, who attributes his success to doing good for others. A light bulb goes on in Earl's dim head, and he sets out to right every wrong he has done, starting with a geek he tormented in grade school.