The ER staffers are in decidedly unfestive moods as Christmas arrives. Carol's spirits are lifted by a Santa-like patient. Mark is outraged when Jenn decides to stay in Milwaukee over Christmas. Benton and Carter score points with Vucelich when Carter convinces an older gentleman, Ruby, to include his wife in Vucelich's study. Mark gives a deposition in the O'Brien case. The death of a priest threatens to start a gang war. Weaver receives a surprise visit from an African friend. A Holocaust survivor, the victim of a carjacking, brings Chanukah to the ER.

Mark tries to find a way to tell Rachel about his impending divorce. Benton attends a banquet at Vucelich's home, with Jeanie as his date. Carter finally tells Mr. Rubadoux about his wife's terminal condition, making the man furious. Morganstern is admitted to the hospital after breaking a leg at a Scottish family reunion.