While Gideon is sidelined on crutches at BAU headquarters, Hotchner and the BAU go to Harrington, Tennessee, in an attempt to get inside the mind of a psychotic killer whose disorganized and erratic fantasies lead him to murder.
Alan helps his ex-lover who tried to kill him get out of a psychiatric hospital. Brad and Denny take a case where a wife is suing the hospital for causing her emotional distress when her husband died during an angioplasty.
Peg tries everything in the book to renew Al's romantic interest in her -- up to and including promises of five-course meals.
Jessica (Angela Lansbury) returns to Cabot Cove to discover why her accountant is not paying her bills. With Ron Masak, Carrie Snodgrass.
The death of Cindy's father reveals she was adopted, and a search for her real parents begins. Due to the lack of attention from Drew, Elizabeth looks elsewhere for romance.