Sheffer works with Dominick to prepare for Thomas' hearing and its potential outcomes. Dominick's chance encounter with an old classmate brings painful childhood memories to the surface.

Despite the objections of those around him, Dominick returns to work before fully recovering from his accident. Heavily medicated, Dominick recalls the incident that led to Thomas' hospitalisation while counting down the hours to Thomas' hearing with the review board.

Upon learning the details of his Sicilian grandfather's arrival in the early 1900s to Three Rivers, Dominick becomes convinced his family is cursed. A startling update on Thomas from an unlikely source prompts Dominick to take drastic action.

A lifetime of animosity between Dominick and Ray spills over in public at an inopportune time. After an unexpected tragedy, Dominick seeks reconciliation with those he has hurt. The question that has plagued Dominick all his life is finally answered.

Dominick Birdsey deals with the repercussions of his twin brother Thomas' violent public breakdown and recounts the events that led up to his brother's episode.

Dominick attempts to navigate the continuing fallout of Thomas' actions as he learns just how difficult it will be to get his brother released from the Hatch forensic institute for the criminally insane.