Dr. Foster confronts his family's divided loyalties when his mother and wounded Confederate brother arrive. Alice is shocked to find her fiancé, Tom, deeply changed by war. Samuel and Aurelia try to persuade a slave boy to seize a chance at freedom.

The unexpected visit of a hospital inspector throws the staff into disarray. Mary feels empathy for a deserter, while Silas makes Samuel pay for his arrogance. A family tragedy forces James Sr. to take a risky step to earn his family's respect.