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Mr. Garrison takes a leave of absence to have a nose job and is replaced by Miss Ellen, a substitute who threatens Stan and Wendy's relationship.
As Cartman celebrates his birthday, Jesus Christ and Satan duke it out on a pay-per-view TV special. Meanwhile, Satan's son Damien tries to fit in with the crowd after making a violent first impression.
The future of the world is at stake after the boys unearth a prehistoric relic that spawns a monster.