Owen helps defend Marjan when a rescue complaint forces her to make a challenging ethical decision. Meanwhile, Grace befriends a young boy who becomes a frequent 9-1-1 caller, but when she discovers he may be in some real danger she must step in.

Capt. Strand and the 126 help a husband whose wife "dies" when she is not upside down. Grace takes a call from a pizza delivery driver who is in for the shock of his life. Tommy is worried Trevor's young daughter is a bad seed as she attempts to break them up. Paul is hesitant to go on a date with Asha, who knows him prior to his transition.

When Tommy and Judd disagree on protocol during a rescue at paper mill, a full-on feud develops between the 126 EMS and Fire. Owen awaits news that could change his and T.K.'s lives forever.

Owen is conflicted when his brother Robert asks him for help; Judd and Grace face a family crisis; As T.K. and Carlos prepare for their wedding day tragedy strikes.