In the aftermath of the car crash, the surviving Winchesters go to the hospital, where one is stalked by a Reaper while another must consider sacrificing himself to save the others.

Benson Simmonds, Carrie Anne Fleming, Daniel Bacon, Fredric Lehne, Jeffrey Dean Morgan, Jim Beaver, Julian Christopher, Lindsey McKeon, Marsha Regis, Randal Edwards, Sharon Bell