Zachariah offers Dean anything he wants, including a threesome with Ginger and Mary Ann. Things must be serious, because Dean refuses and Zachariah explains the situation. Lilith has broken every Seal except one and they don't know where she is. Dean mocks them (as he should), but Zachariah reminds him that Dean swore his undying allegiance to Heaven.
When the angels leave, Dean reluctantly makes a call to his brother. Dean gets Sam's voicemail and leaves a message that's equal parts hilarious and heartbreaking. He still thinks he's right and that Sam deserves a serious beatdown, but Dean regrets what he said. The message cuts short before Dean can say "I'm sorry."
Sam's too busy to take the call because he's gone with Ruby to pick up the creepy nurse who steals babies to feed to Lilith. Sam takes pleasure in torturing this demon until she talks because Demon Nurse is literally begging for death. Sam agrees to these terms and Demon Nurse tells him that Lilith is going to be at the convent in Maryland.
It's a long trip and Ruby suggest bringing along Demon Nurse as a road trip snack. Sam agrees and Demon Nurse is royally pissed that he's going back on their deal. To punish him and make it a more difficult decision, Demon Nurse lets the person whose body she's using become conscious and feel the pain Sam will inflict.
Flashback to 1972: Azazel has killed everyone and uses one of the nuns as a conduit to allow Lucifer to speak through the cracks in the cage. Lucifer says that Lilith is the only one who can break the Seals, but Azazel claims she's trapped deep in the pit. To solve that problem, Lucifer says that his son must find some special children. Wow, so Lucifer told Azazel to find special children so that one day one of them would open the gates and let Lilith so everything has been a part of the Devi;'s master plan.
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