A doctor is telling Dean that Sammy is going to die. Dean makes some comments about angels and demons that make plenty of sense to longtime viewers but are probably leading the doctor to consider shipping Dean over to the psych ward. Before he can do so, however, Dean sees a sign for the hospital chapel and goes inside to pray for some angelic assistance. Dean first reaches out to Castiel to tell him that he forgives him for their falling out in Season 8 and that he really needs him there. Hilariously, he narrates this very specific prayer out loud before the camera pulls back to show that there are plenty of other people in the room with him. When Castiel doesn't appear, Dean calls for the help of any angel, promising a Winchester favor in return for the healing of Sam. Blissfully unaware of his brother's struggles to save his life, Coma Sam continues riding with Imaginary Dean in the Fake Impala, arguing over whether or not Sam should give up and die. In a shocking turn of events, Dean votes for the "don't die" option. Sam isn't so sure. Then, we shift to... ...Castiel! Making his first appearance as a series regular in Season 9, Misha Collins opens by nearly being hit by a car, then demonstrates that his "people skills" are once more a bit "rusty" when he is not dealing with people so "patient" and "understanding" as Sam and Dean. Sam's brain. Coma Sam and Imaginary Dean argue some more until Dead Bobby appears in order to call them both "idjits" and side with Sam about the awesomeness of being dead. Elsewhere, Castiel was evidently almost hit by the nicest pickup driver in the history of ever, who gives the weirdo who had been wandering in the middle of the road a few dollars for a pay phone and a sandwich that Castiel totally won't be craving by the end of the episode. He then finds one of the six remaining functional pay phones in the United States and demands that the biker currently using it hang up immediately, leading to an exchange that ends with Castiel learning that he can no longer do his knock-the-human-out-with-two-fingers trick...and also that he is probably about to be stabbed. Ah, being human. Castiel leaves before the biker has a chance to pull out his switchblade and start a rumble, Johnnycake-style. As he hurries away, he runs into a fallen angel by the name of Hale.