Rushing to the nearest hospital Dean drove down the road like a bat hell. Eventually he made his way to Kansas City General. "I need some help here!" Dean yelled. Hearing his call nurses and doctors rushed to his aid and took Sam to a bed and began treating him. Soon after Liz and Madison entered the Emergency Department and found Dean. "How is he?" Liz asked. "They admitting him into a room and he's about to be moved." Dean replied. "Sir, we're moving him now." A nurse said. Making their way to the room Sam was placed they all stood around him and waited for the doctor. "Hello I'm Dr. Walker. I'm afraid he's not doing well. We've done everything we can. It's in God's hands now." He said as he walked out. "Damn! That's not good enough!" Dean yelled punching the wall. "Hey calm down." Liz instructed as she grabbed his arm and pulled him away from the wall. "I'm going for a walk." Dean said leaving the room. Walking down the hall he found his way to the Chapel. Going in and sitting down he started to pray. "Cas wherever you are we need your help man. Sam is in bad shape. Please we need you to do some healing." Dean said looking around and seeing nobody. "Fine fuck it. This is Dean Winchester and this prayer goes out to any angel with their ears on. I'm at Kansas City General and need a favor. If you fulfill it I'll be in your debt." Dean said in an angry tone. As the prayer went out, three angels were in the general vicinity and went towards the hospital.
In the middle of a road Castiel walked towards the East. Stumbling he heard the fading screams through the Host Line in his mind of his brothers and sisters falling to Earth. "Damn. I can't believe this is happening. Why would Metatron do this to his own kind. That rat bastard." Castiel said to himself. After walking for about half an hour a truck drove by him and stopped. "Need a lift pal?" asked the driver "Yes I do. I no longer have wings to fly." Castiel said bluntly. "Um ok… guy must be high as hell." The driver muttered under his breath. After an hour they made their way to a gas station and Castiel thanked the man and got out. Walking towards the phone he waited until the man was finished and made a phone call. "Hello Dean, it's me." Castiel said. "I'm sorry I wasn't able to answer your prayer. I lost my grace. Metatron used it as an ingredient for his spell to cast us out of Heaven. Yes I will make my way towards the Fortress. Goodbye for now." Castiel said hanging up the phone.
Back at the hospital Dean went back into Sam's room where Liz and Madison sat quietly. "Just spoke to Cas and he lost his powers. Metatron stole his grace and used it as an ingredient for the spell to cast the Angels out of Heaven." Dean explained. "That asshat. What the hell did Castiel ever do to him?" Liz said. "Well there has to be something we can do." Madison pleaded. "Maybe…. I do have the King of Hell in my trunk." Dean muttered as he bolted out of the room. Making his way to the parking garage he went to the Impala and knocked on it. "Hey Crowley you awake?" Dean asked hearing a knock back from the inside. "Ok good I need" right as he was about to ask Dean was grabbed and thrown to the ground by a man dressed in a nice suit. "I've found you Winchester. Where is Castiel it is his fault we fell?!" The angel bellowed. "No idea" Dean said with a grin. The angel drew back his fist and prepared for a powerful blow before he was stopped by another. "Please brother. This man prayed for our assistance. Are we beings of wrath or compassion? I'd argue the latter." Said the other angel who was tall and wore plain clothes and had a backpack. "I'm sorry but I don't recognize you brother." The angel in the suit said. "Well I'm glad to reacquaint myself to you." the plain clothed angel said. "Sure…by not today!" The angel in the suit lunged at the other and began to beat him to death. The plain clothed angel did his best to hold up a defense but was still greatly weakened from the fall from Heaven. Before he could be killed Dean intervened and killed the angel in the suit. "You ok?" Dean asked. "Sure." The angel said right before he passed out.
Dragging the angel into a locked room Dean put him in a ring of Holy Fire and waited for him to wake up. The angel then awoke and began to stand. "About time. Why the hell are you here?" Dean asked "I'm here because you prayed for assistance. I'm trying to do the right thing after all the problems my brothers and sisters have caused." The angel replied. "Fine. How about a name?" Dean asked "I am…Ezekiel. " he answered. "Alright then Ezekiel let's go." Dean said putting out the fire. Making their way to Sam's room they entered to see Sam in the same condition. "Who is this?" Liz asked. "An angel his name is Ezekiel." Dean replied. Ezekiel walked towards Sam and put his hand on him to see how badly he was hurt. "Your brother is not doing well at all." Ezekiel stated.
Inside of Sam's mind he was going through a rough journey. He was in the woods walking wondering what was going on. "Hello anyone there?" Sam asked yelling. "Hey there." Turning around he saw Liz. "What's going on? The last thing I remembered was being inside the church? Now I'm here in a forest." Sam said. "Well this place isn't real Sam. You're dying." Liz said. "What?" Sam asked. "Dying Sam as in about to go to the next life." Madison explained stepping from behind her. "We represent your family desire." She explained. "And I represent your will to accept the truth." a voice said coming from Sam's left. Standing there was Bobby. Hey Sam how's it going?" he asked. "Apparently not well since I'm dying." Sam retorted "Well I'm here to make sure you do what's right. It's time Sam." Bobby said. "And I represent your will to live." Dean said appearing behind Sam. So what happens now?" Sam asked. "You fight that's what happens." Dean yelled. "No it's his choice. Listen Sam you're dying and it's time for you to go." Bobby said. "He needs to do what's right for his family" Liz protested. "And that is to fight." Dean said with great force. "Maybe not. Maybe it is to die and not bring danger to his future child." Bobby argued. "Enough! I need time to think." Sam said. "Ok we'll give you time." Bobby said. Suddenly he was decapitated by Dean. "Woah the hell is wrong with you?" Sam asked. "It's not time to think. It's the time to fight! I'm here to make sure you live! You can't be passive about this! You have to be aggressive and mad!" Dean yelled pushing Sam and beginning to fight him. It stopped when Dean was impaled by Liz. "It's your choice Sam." Liz said. "Do what's best for your family." Madison said with a smile. They both disappeared. Sam then felt the strong sensation to go forward towards a cabin. Walking to the door he heard what sounded like rustling inside. Opening the door he found a man sitting in a chair. "Hello Sam" the short haired blonde man said with a smile. "My name is Obadiah. I'm your reaper." He said politely.
Outside in reality Ezekiel gave everyone the news on how Sam could be healed. "He's badly injured on a subatomic level. It will take great power to do so and…" He stopped talking as an earthquake was happening. "What is that?" Dean asked. "An angel looking for a vessel." Ezekiel responded. "I'll take care of it. You all wait here. Lizzy draw some sigils to keep them out." Dean ordered. Rushing out he went to deal with the angel. "Everyone take cover!" Dean yelled. Suddenly one of the nurses grabbed him and pinned him against the wall. "Hello Winchester." She said with rage in her eyes. Grabbing his throat she threw him across the hall into another angel. "Damn it took me a long time to get here." The farmer angel said punching Dean in the face. The two began to lay into Dean hard and quick and put him into the corner. Walking towards him they prepared the finish him off. "Hey I have to ask a question. If Heaven is locked then where do you go if I do this?" He asked as he drew the Angel Banishing Sigil and activated it sending them away. Walking back into the room he saw that everyone was safe.
"Well what's the deal?" Dean asked . "Your brother is badly injured as am I from the fall and the fight I had. I can't heal him out here I'm afraid." Ezekiel said. "The hell are we supposed to do? He's a soon to be father and I'm supposed to let him die!" Madison yelled. "How can you not heal him?!" Liz asked. " I never said I couldn't heal him. I said I couldn't heal him out here." Ezekiel said staring at them all. "You mean possession?" Dean said. "Yes it is the only way. I would steadily heal him and myself. Badly as he is injured it would take a while." Ezekiel said. "And when you're done?" Liz asked. "Then I'd leave. Besides he'd be in control the whole time. I would just be buried in there healing him." Ezekiel explained. " I see. But he'd never say yes to you." Dean said honestly. "He would to you." Ezekiel retorted.
Inside of Sam's mind he was sitting talking to Obadiah. "So is this truly it?" Sam asked. "Yes. It's why I'm here. The images of your loved ones were to help you in a way with this startling news. They were different parts of your subconscious. So are you ready to go or stay?" Obadiah asked. "I guess I should go. My child would be better off without me around dragging all this taint and evil I have." Sam said. "Don't believe that." Dean said from behind. "What you again? Sam asked. "Again?" Dean asked. "Um no it's me Sam. I have no time to explain but I found a way to save you." Dean said. "Really?" Sam asked "What are you talking about?" "Just trust me ok we don't have time. Are you in or out?" Dean asked. Sam looked at Obadiah and see what he would say. "It's up to you Sam." Obadiah said. "Um yes." Sam said. "Good" Dean said placing hand on Sam's shoulder. Suddenly he began to glow and his visage transformed into Ezekiel and the white light took over everything.
Rushing to Sam's room a doctor went to see what caused the light. "Who are you?" He asked seeing nobody but Ezekiel's old vessel. "I'm Chris. How did I get here?" he asked.
Outside Ezekiel told them what he thought of his time table on healing Sam. "He's greatly injured inside. It will take some months to heal him. Fear not I will do it as quickly as possible and once I'm done I will vacate his body. I will also make him forget that I'm inside as if he is aware he can eject me and then he will surely die. As we tricked him into this he would be most angry. I pray this healing will be brief and I can be on my way" Ezekiel said. "Hope that's sooner rather than later." Dean muttered. "Well let's get going" Liz said. Driving back she and Madison took road together and Dean drove Sam/Ezekiel and Crowley in the trunk. While they were making their way to the Fortress of Letters Sam awoke. "What's going on?" Sam asked. "You're awake. Finally. You've been out for a while. You stopped the Trials and you passed out. You should be ok for now that you've cast them off." Dean replied. "Oh. I hope so. Where's Madison I remember seeing her?" Sam asked. "With Lizzy didn't want her in here in case Crowley tried something." Dean answered. "He's here?" Sam asked. "In the trunk. We have a lot to deal with now." Dean said. "What do you mean?" Sam asked. "Sam….the Angels of Heaven…have fallen.