Tom and Diana investigate a mysterious structure being built at a psychiatric hospital, based on the drawings of one of their patients who's a 4400.

After living for 8 years in an alternate world that only Tom and Alana remember the world with the 4400 has returned as it was at the second the 8 years started. A 30 year old 4400 woman wakes up and finds everybody else in her local community dead. Maia puts April's love for her to a test.