Governor Devlin has reinstated capital punishment in the state--and the first Oz prisoner scheduled to die is Jefferson Keane, who killed a Latino in their skirmish. Before he's executed, Keane donates a kidney to his ailing sister.

The prison's health service is kept busy by a variety of prisoner complaints: Beecher flips out and sends Schillinger to the hospital; mob boss Schibetta develops stomach problems thanks to some ground glass; and Said has a heart attack.