As Thanksgiving approaches, Piper's never felt so alone. Pennsatucky forms an unholy union as she finally makes her move. Pornstache closes in on Red.
Mendez uses Red's smuggling connections to move drugs into the prison. Red flushes them down the toilet. Mendez issues Red a death threat and urinates into the Thanksgiving gravy. Pennsatucky and Alex clash over their views on homosexuality and religion. Nicky and Alex flirt.
Flashbacks depict Alex being bullied for her low socioeconomic standing, her relationship with her mother, and her first contact with her washed-up rock star father. The flashbacks also show her beginning with the drug cartel. Sophia's wife becomes romantically interested in her pastor.
With Sister Ingalls's encouragement, Sophia gives her wife her blessing. Sophia's full dose of estrogen is restored. Daya attempts an abortion using Mendoza's herbal teas, but Aleida colluded with Mendoza to keep the fetus alive. Later, Daya agrees to keep the baby. Taystee is released but finds that her support network is missing. Piper and Alex share a sexually charged dance, and Pennsatucky snitches on them for "lesbianing together," after which Healy unfairly sends Chapman to SHU.
When Healy visits SHU, Chapman rages against him for punishing her for being a lesbian. After suffering in SHU, she resolves to obey Healy and avoid Alex. Caputo orders Healy to release Chapman from SHU when it becomes clear that her transfer to SHU is unjustified. Upon returning to camp, she has sex with Alex. Healy calls Larry, but the call's content is not revealed. It is implied that he tells Larry about Piper and Alex's sexual relationship.
