Two teenagers explore an abandoned asylum, and one of them is killed. The survivor, Shawn, is left unable to speak from trauma when taking a medical mask. The brothers take the case. Dean insists he will be fine but clearly isn't. He is unable to get Shawn to talk. Sam discovers the asylum's doctor used to lobotomize his patients, and the next day Shawn disappears. At the asylum Dean burns the masks which destroys the doctor, but the place is still haunted. Dean kills himself to find out where the patients' bodies are. Shawn was possessed by the mask to go back there, and the doctor made him kill himself. A Reaper reports that Dean is in The Veil, and the new Death comes to see him: Billie. As the first Reaper to die after Dean killed the old Death, she took the job, wanting information on how the hole to the other universe ripped open. She sees the Winchesters as important to the universe with work to do. She lets the ghosts move on and sends Dean back, stating his choices decide how he dies. Dean admits to Sam he needs a victory, and they are reunited with Castiel bella is in tears so is grace they ran to him and he kiss both of them