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A new HMO restriction on individual therapy forces Monk to join one of Dr. Bell's groups just as its members are being murdered.
Natalie displays surprising superstition when Monk consults on a case that involves Voodoo. Unfortunately her uneasiness turns to terror when the killer targets her.
While Natalie attempts to surprise Monk with the ultimate 50th birthday party, a janitor and a patent lawyer are killed during the launch of the first vacuum with a self-cleaning filter.