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Meredith has a court hearing after skipping out on community service, while Bailey and Jo have a patient that Jo realizes is from the treatment facility. Richard and Gemma grab breakfast together and things go awry.
After Meredith inadvertently stirs up negative press for Grey Sloan, she tries to make things right with her former colleagues, jeopardizing her community service hours. Station 19's Ben and Vic bring a young woman into the hospital, and Jackson stands up to Koracick when he goes too far with a patient's family. Meanwhile, Bailey receives unexpected news; and Owen finds himself at Pac-Gen North, which Alex sees as a recruiting opportunity.
Alex is hoping to impress investors at Pac-Gen North, but when he hears disturbing news about skeletons on the construction site grounds, he enlists Richard to help with distraction tactics. Teddy feels the pressure to be super-mom after tasking herself with creating original Halloween costumes for Allison and Leo, while Meredith fears she won't make it home in time for trick-or-treating with her kids. Elsewhere, Jackson tends to a pediatric patient who is upset she is spending her Halloween in a hospital.