With Joy now pregnant again, Earl looks back on her pregnancy during their marriage and how his father was responsible for one of his first truly good deeds.

After returning from tribal council, Yau-Man vents about Ravu's past two losses. Ravu finally gets fire after Michelle prays to the sun to help them.
At the reward challenge, Gary takes a fall and Moto soon wins the reward. They send Sylvia to Exile Island. After the reward challenge, Moto's Gary experiences breathing problems. The medical team checks it out and says that it is nothing severe.
At the food-eating immunity challenge, Anthony loses a critical showdown against Gary. Moto is left undefeated as they win their third straight immunity challenge. At Ravu, before tribal council, many agree to get rid of Anthony if Sylvia has the idol. Syliva digs for immunity before tribal council. At tribal council, Sylvia receives the most votes to become the third Ravu tribe member to be voted out.

The 24 semifinalists performed for America this week, and the viewers have determined their fate. Tonight, four contestants two males and two females will go home, leaving 20 finalists vying for the American Idol crown. Who will make it through the first round of cuts?

J.D. develops a crush on a new physical therapist but due to his latest misfortunes, he finds it difficult to ask her out.

Elliot asks Keith to move in with her, but is not willing to budge on her home rules.

Turk breaks his arm and is sent back to residency by Dr. Kelso. Thanks to Dr. Cox, he realizes that he doesn't know as much about medicine as he thought.

Grissom and his team are discouraged when they find a pool of blood as they begin investigating the disappearance of a high school basketball star and his cheerleader girlfriend.Grissom's quip that the young lovers may have run off to Mexico is soon quashed by the discovery of drops of blood by Ryan's vacant parking spot at the school. After finding a letterman jacket and cheerleading sweater in the field house and a pool of Ryan's blood nearby, the team tries to determine what went awry.

Everyone is pushing for Meredith to survive, or in this case to be revived.

People are still dealing with the fallout from the ferry disaster. Someone else dies.

Newport was forever changed with the arrival of outside Ryan Atwood four years ago. In the series finale, an emotional ending shows what happens to each of the lives that Ryan touched, including the Cohens, Coopers, and his most recent love, Taylor.

Michael and Jan reveal their hushed romance while attending the Dunder Mifflin CFO party. During the party, Jim finally meets Karen's ex. Meanwhile, the rest of the office staff booze it up during happy hour.

Sebastian is shocked when his friend, Christian, has him come to a hotel suite where his firm had a party the night before. There Christian shows him the body of one of the firm's female interns and asks him to help keep her death from becoming a media scandal. Sebastian agrees to help, but soon regrets it when the body is found in a ravine the next morning and has to keep his knowledge of the case a secret from his team.

OCC continues work on the chopper for the Flow International Corporation. Meanwhile, the crew goes to a paintball course to let off a little steam, OCC-style.

Jack sees an opportunity for budget cuts when Josh's contract is up, forcing Liz to go out of her way to motivate Josh into staying with TGS and not moving on to a rival show. Meanwhile, Kenneth earns a coveted spot in Tracy's entourage and Jenna gets in trouble over a misquote in Maxim.

A blizzard moves into Chicago, stranding a family in the snow. Pratt, Abby, Hope and Ray must struggle to save the family, and keep hope alive when they learn one member is still missing. Lukas got a problem intern in his sights, and hes not pleased. Later, a gang shooting challenges Luka and Pratt. Meanwhile, Luka and Abby begin making wedding plans, but is their engagement still a secret? Sam makes a difficult choice about Alex, and wonders if shes failed him. Neela discovers shes no longer Dubenkos favorite, and Gates has an unexpected, and unwelcome, visitor.

Sarah becomes an adviser to a local beauty-pageant contestant. She encourages a young girl to enter the pageant in order to fulfill her own childhood dreams. Meanwhile, Steve's behavior in a police car result in unforeseen consequences.