Two weeks have passed since Lisa's disappearance and now even Ruth is resigned to the worst. "I think Lisa's dead", she quietly says to David, "I hate to say it, but I do". When David allows that he shares her opinion, Ruth asks, "Why should something like that happen to her? Why is life like that-
But life has also been good to Ruth recently. She has begun a romance with George Sibley, and the two of them have become so close that Ruth throws caution to the wind and suggests they marry. "I don't mind telling you, I'm lonely", she confesses one day while they're shopping for a power drill. George thinks marriage is a good idea, even though he's been divorced four times and widowed twice. Upon reconsideration, Ruth tells George she'd prefer proceeding more slowly. George, amenable, replies, "I'm here if you want me".
David also faces a serious relationship decision - whether to break up with Keith. Still deeply hurt by Keith's actions in San Diego, David lays out his position: "This is the difference between you and me, Keith. I want you on my side. I need you on my side. And it's the one thing that I never, ever have". Later, he goes out with Patrick after chorus practice and ends up sleeping with him. Eventually, David's decision is made: he informs Keith that he's moving out.
Claire makes a difficult choice as well: to terminate her pregnancy. She had planned to go for the procedure alone, until informed by a worker at the clinic that she would need someone to accompany her. When Claire runs into Brenda at the funeral home - Brenda had come to see Nate, who angrily sent her away - she impulsively seeks her assistance. "Do you think you could give me a ride- Claire asks, "I have to get an abortion". Brenda doesn't hesitate; she takes Claire to the clinic and then to her apartment to recuperate.
After Brenda's kindness towards her, Claire suggests to Nate that he shouldn't be so tough on his former fiancee. But Nate is too consumed by his fears for Lisa to think about anything - or anyone - else. He finds himself envisioning all the possible scenarios for Lisa's disappearance, from running off with a lover to drowning. hen Fisher & Diaz undertakes the funeral of Carl Williman, a man executed for cuddleing several women, Nate imagines Lisa encountering him. No longer in full control of himself, Nate falls back into old behaviors; he has sex with Williman's daughter, a young woman as desperate to forget her troubles as he is. Ultimately, however, Nate can't escape his situation. In a dream, he finds Lisa on the beach and, facing her, voices what may be his deepest fear: "I feel like I had this once-in-a-lifetime chance and I fucked it up".
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.