Oliver is concerned when a mysterious illness sweeps the city, infecting hundreds of people, including Diggle. Oliver discovers Vertigo in Diggle's blood and realizes The Count has broken out of prison and is once again distributing his drug. Meanwhile, Moira goes on trial for her participation in the Undertaking. ADA Adam Donner collapses in court with Vertigo symptoms so Laurel must step in and try the case against Moira. Oliver is torn between standing by his family during the trial and catching The Count. However, things change when Felicity follows a lead and walks straight into a trap set by The Count.

After a fight with Cyrus Gold AKA the Acolyte, Oliver is drugged and left for dead. Determined to cure him, Felicity makes a risky decision. The cure causes Oliver to hallucinate, and what he sees forces him to confront his past. Meanwhile, Barry continues to help Felicity, and their connection grows stronger. The Arrow asks Lance to look into Gold, but when the stakeout on Gold goes bad, someone is killed. Roy is captured and tortured by Brother Blood.