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Jamie and Claire are surprised when Lord John Grey drops in on Fraser's Ridge with an unexpected traveling companion; when Grey takes ill, Claire must reconcile her personal feelings with her duties as a doctor.
Claire's medical expertise proves invaluable, but she begins to fear for her life when tragedy strikes her patients' household; Jamie and Young Ian travel to a nearby town to recruit settlers for Fraser's Ridge.
Brianna follows in her mother's footsteps and travels through the stones back in time to 18th century Scotland where she struggles to make her way to the Colonies to find her parents.
Season 4 picks up from where Season 3 ended and will draw from the novel Drums of Autumn, in which the time-traveling 20th century doctor Claire and her 18th century Highlander husband Jamie try to make a home for themselves in colonial America. Along the way, the Frasers cross paths with notorious pirate and smuggler Stephen Bonnet in a fateful meeting that will come back to haunt the Fraser family.