Dr. Kevin Moretti, an ICU specialist bent on change, joins the ER team. Change comes elsewhere as Luka and Abby adjust to being husband and wife, Pratt tries to be a new man to his lady friend, Morris and Hope take things to the next level, and Ray goes missing. Later on, Luka gets a troubling phone call.

Season Finale: Luka postpones his honeymoon, leaving Abby, Joe and the ER behind to begin a different journey. Meanwhile, it's Moretti's first day as Chief of Emergency Medicine, and everyone feels the effects of his style, especially Pratt and Morris. Neela learns of Ray's fate, then joins an anti-war rally and finds herself in a dangerous situation. Gates faces a crisis on the home front.

Season Premiere. Moretti's first day is challenging as the ER is inundated with casualties from the peace rally - including Neela. Dubenko faces a crisis in surgery. Abby, Pratt and Morris conspire about how to deal with a shared problem. A new intern arrives unexpectedly, and Gates is reassigned.

Moretti begins to make his presence felt, as he implements changes in the way patients are seen. The ER staff differ on how procedure when a patient comes in with a bullet in him needed as evidence. Neela finds herself the object of more attention that she wants, or needs. Abby had passport woes, and struggles with the changes being made. Pratt and Morris find themselves forced to defend their actions, Hope prepares for a new mission, and Gates finds himself labeled the reject in his new assignment.

When Baby Joe is injured by a fall at the playground and rushed to the hospital, Abby is unable to reach Luka to tell him.

Moretti reassigns Gates back to the ER and treats a couple involved in a car accident. Morris prepares to take his written board exams. Neela is assigned a young genius intern. Kovac plans to extend his stay in Croatia while Abby struggles with single parenthood.

Morris and Pratt cram for their medical boards when Morretti brings in a new attending physician to help with the load. Sam and Abby work on an attention-hungry patient who comes into the ER with elusive symptoms.

A power outage strikes on an unusually hot day, bringing nursing home patients suffering from hyperthermia to the ER. Abby and Pratt disagree about diagnostic tests for a fussy baby. Morris and Pratt get their board results, and the ER staff celebrates at Ike's. Moretti and Abby's interactions intensify, and Abby finds herself at a dark and frightening crossroads.

Everyone at the ER is happily surprised to see Luka back from Croatia. Great news awaits Neela. Sarah once again needs rescuing by Tony, and patients are causing problems for Morris.

When a drunk patient is admitted to the ER, his actions endanger everyone at County. Pratt is still pursuing his dreams of becoming Chief of the ER, and Gates is worried about his future with Sam. Luka unexpectedly runs into Dr. Moretti.