Abigail, an ugly high school girl, gets plastic surgery from her surgeon-mother to boost her popularity. However, her beauty hides a dark secret - when she kisses someone they're inflicted with life-threatening hallucinations. When Lana sees Abigail with one of her victims, she becomes the next target.

Mikail Mxyzptlk, a foreign exchange student and bookie, has the power to control others and uses it to sabotage football games, including the one Clark is quarterbacking. Clark and Chloe figure out his secret, but he threatens to kill Chloe unless Clark throws the next game. Mikail came to Smallville via LuthorCorp, and Lex will do almost anything to learn his secret.