A crime journalist helps Beckett and Castle in the investigation of a woman who drowned in a bathtub full of motor oil in a seedy motel; Beckett and Castle get involved in a high-stakes game of poker.
Conrad’s ex-fiancé, Catherine (guest star Joanne Kelly), is admitted to the hospital with abdominal pain that proves to be quite the medical mystery. As Conrad doggedly tries to figure out her diagnosis and fights the idea of Bell performing her operation, Nic gets some insight into Conrad’s past. Meanwhile, Bell panics when Claire announces that she will be installing cameras in all operating rooms, Devon wracks his brain for the perfect birthday present for Priya and Lane realizes that Nic is suspicious about her clinic.
When a pregnant woman is assaulted, Horatio and the team fight for her and her baby's life while tracking down her attacker.
Jim's secret is put at risk when the police station is taken hostage; Stephanie and Kelly become suspicious of a human resources vice president (Rebecca Mader).
After a member of the President's staff is murdered, Ellen urges Duncan to back out of the assassination plot, while other members of the President's staff take matters into their own hands. Meanwhile, after scouring medical records, Ellen finds someone who might be a viable bone marrow donor for Duncan's wife, Nina.
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