As Dean Munsch opens a hospital and takes on Zayday and the Chanels as staff, a new killer strikes.

Tyler, who has a hideous ailment, visits the hospital and finds love; Chad returns to win Chanel back, and discovers Brock's dark secret; After a run-in with the killer, Cathy enlists the help of Denise Hemphill.

The rivalry between Chad and Holt intensifies, while in the wake of another killing, Hester ups her demands.

Chanel attempts to make contact with the latest victim; A Halloween party is thrown at the hospital, in hopes of catching the killer; Another victim falls.

Dean Munsch and Chanel organize a blood drive to solve the shortage at the hospital; Ingrid plans her revenge; Hester finds a way to join the staff; A shocking revelation involving the Green Meanie occurs.

Dean Munsch pitches a risky surgery to Dr. Holt, whose hand begins to express a different personality; Chanel #3 forces Cassidy to undergo a psych test; Ingrid sets a devious plan in motion.

Wes checks into the hospital, to try and win back Dean Munsch; Brock questions his relationship with Chanel; Zayday and Chamberlain devise a plan to discover the Green Meanie's origins.

The Chanels are overwhelmed when their TV idol, Dr. Scarlett Lovin visits the hospital; Hester calls a Green Meanie summit as the killers put their kill plan into effect.

The Green Meanie sets their final plan in motion; Hester makes a bold move to secure her future; Brock performs a dangerous surgery to save Dean Munsch's life.