Ruby comes to terms with her pregnant sister's arrival, David and Rosa celebrate a Christmas wedding, and Charlie's Christmas optimism is put to the test.

Dylan decides its time to take a stand, both in his personal and professional life. Meanwhile, Ruby finds the courage to take temporary custody of baby Harmony. When she hears the news, Violette agrees to try and get clean, and decides to send Arlo away. Elsewhere, Connie returns to the emergency department.