Kate struggles with her feelings in the aftermath of Toby's heart attack. As William begins to spend more time with Jesse, Randall has to get used to his father's new relationship. After receiving the news they're expecting triplets, Jack and Rebecca must find a way to afford a home that can accommodate three babies. Olivia unexpectedly resurfaces, throwing both Kevin and Sloane for a loop.

Jack and Rebecca try to throw Kate, Kevin and Randall three separate birthday parties.