A college football player collapses in the heat of practice, and his passing haunts Nate and his AVM secret. With Matt Gilardi failing to buy out the "resilient" Fishers, Kroehner's regional director, Mitzi Huntley, decides to take matters into her own hands. Federico asks Nate and David for a down-payment loan for his house, but learns they're buying a "casket wall" display instead. Desperate, his wife Vanessa turns to her sister, Angelica, for help. Brenda invites the man who deflowered her over to dinner; Claire learns that Gabe is carrying some serious excess baggage; Keith frets that his drug-troubled sister Karla is neglecting her daughter, Taylor; and Robbie, Ruth's flower-store co-worker, asks Ruth to witness his graduation from a self-help seminar.
Six Feet Under focuses on the cathartic journey of the extended Fisher family, whose personal trials and tribulations are played out against the solemn backdrop of an independent funeral home in LA.
This past season, story elements established in the first four seasons reach a series of emotional climaxes, with Ruth overwhelmed by her mentally fragile husband George, Nate struggling to reaffirm his relationship with Brenda while raising his daughter Maya, David and Keith longing for children of their own, Claire trying to broaden her horizons, and Federico attempting to fill the void left by Vanessa. By season's end, each of the main characters will come to embrace the cycle of life - birth, passing, and rebirth - in ways that are both unique and interconnected.