Tragedy strikes when a rescue attempt at a tenement building proves unsuccessful, leaving the men and women of firehouse 51 affected by the loss of the victim. Severide's decision to put Mills on the fast track to move from Truck to Squad doesn't sit well with some of the others and tension mounts between Severide and Casey over Heather Darden. Shay and Dawson are forced to deal with a junkie's crazy behavior while on a call and Shay considers a different way to have a family. Meanwhile, the team draws the ire of local drug dealers who threaten the peace and safety of the neighborhood and firehouse.

Detective Voight returns, looking to collect on the favor that Dawson owes him for helping her brother, Antonio. Casey falls back into old patterns in his personal life, while Dawson, Herrmann and Otis become the proud owners of a real neighborhood bar as Molly's prepares for its grand opening. Meanwhile, Severide's career is threatened.