"What were you thinking?" shouts Cas, and Ruby sighs.

"Castiel, please, I'm really sick of-"

He growls, moving closer to her.

"You jumpstarted the Apocalypse, Ruby. If you think you're sick of it now, imagine how sick of it you'll be when we're all dead."

"I see why Dean likes you; you're a real pick-me-up," she sneers, collapsing onto the couch in the hotel room. Her hands fall to her stomach as she is overwhelmed by a feeling of nausea. Cas's expression turns to concern.

"If you're so worried about my alliance, why did you save me?" she moans.

"Excuse me?" Cas says, playing clueless, and Ruby glares up at him.

"An explanation…my superiors and I needed one."

"So I'm on the run, and you still answer to your superiors? Lovely. You realise they want me dead?" Ruby groans. Cas grins.

"Not all of them."

Ruby grunts up in surprise.

"Anna remembers you - she's mandated that you're to be brought to her rather than tortured."

"Oh, goody," Ruby grumbles. Her stomach begins to hurt more, and she curls into a ball, wincing. Cas awkwardly sits down next to her, placing his hand on the nape of her neck and unsuccessfully trying to heal her. A moment later she vomits onto the floor, and Cas endeavours to move her before deciding to rush to the hospital celestially. Ruby is admitted immediately; however, it takes nearly twenty minutes for either of the pair to calm down.

By the time the brothers have shown up, it is clear that a feud is underway; they both are angry, worrying for the sakes of their respective better halves. Despite the lack of any official acknowledgement of attachment, Dean seems almost as worried about Cas' wellbeing as Sam does about Ruby's. The angel is pale-faced and drained, and his confession of pushing himself too far beyond his power isn't enough information for the hunter.

Sam, on the other hand, speeds by the others and makes his way over to the side of the hospital bed.

"Sam, I'll be fine," Ruby groans, trying to reassure him, letting him cup her hands in his.

"What happened?" he exclaims, glaring towards Cas. "How is she supposed to be safe if you're going to hurt her?"

"I did not do this," Cas declares, too distraught to conceal his offence.

"There was no one else there! Who am I supposed to think did?"

"No one did anything, Sam. It's probably just the flu or something," Ruby contests.

"See?" Cas shouts, but as he moves to challenge Sam there is a definitive knock at the door and the doctor stands expectantly in the doorway. She looks unfazed at each of the men, urging them out of the room. Sam resists, but Ruby assures him that all will be fine, and he lets Dean pull him away gently. The doctor eases her way in, pulling the door shut behind her, and goes over to Ruby.

"Well, it's not the flu," she says carefully, and Ruby groans in response.

"Tell me it's not the plague. Please, don't let it be the plague."

"No, no," the doctor fails to stifle a giggle. "Actually, you're not really sick at all."

"Excuse me?" Ruby tries to sit herself up in bed but lays back down when confronted with the mounting discomfort in her abdomen.

"But if I'm not sick-"

"Severe morning sickness," the doctor explains, biting her lip as she waits for Ruby's realisation.

"Morning sick-" Ruby pauses and gasps, and turns back to the doctor in disbelief.

"You're pregnant," she says with a slight smile.