When the town begins to run low on water, the residents of Chester's Mill begin to fight for the remaining resources. Meanwhile, Julia discovers a strange connection that two of the town's residents have with the Dome.
Leanne must deal with the difficult decision of whether to save Tom Moreno (Michael Trucco), the police officer who helped her during her family's accident, or his shooter, who has more serious injuries. Also, when Malaya's pregnant ex-girlfriend, Carla Niven (Shiri Appleby), arrives at the hospital with pain in her arm, Malaya is shocked by her MRI results.
A shooting sends two of Drew's friends to the ER. Meanwhile, a woman's psychosis worsens, becoming a danger to herself and her father; Paul breaks hospital rules to treat a 9-year-old boy with severe cystic fibrosis; financial problems plague Ragosa.
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