The Brain Surgeon re-creates the crime scene where he slaughtered Sussman, placing his life less corpse on a meat hook, so that it looks like Sussman blew his brains out with a shotgun. This leads the police to think that it was Sussman who was the Brain Surgeon and killed himself out of repentance. He then sends pieces of Sussman’s brain, the optical portion, to Vogel labeled “His” and “Hers” letting Vogel and Dexter know that he is watching the both of them. Dexter proceeds to go through a list of Vogel’s ex-patients and comes across Ron Galuzzo, who had murdered his best friend when he was a child, but originally convinced Vogel that it was a bully who committed the crime. Yet this turns into a cold lead when they find out that Galuzzo is a cannibal. Meanwhile, Debra gets pulled over for a DUI, but Quinn helps her get out of it. Debra then proceeds to head to the police station with confessing to LaGuerta’s murder. Quinn calls Dexter and tells him what his sister is about to do. He and Vogel make haste to the police station to stop Debra and try to convince her that she is having survivor’s guilt. Dexter finds Debra within the interview room and when she tries to leave to make a public confession, he injects her with M99. Dexter then takes Debra home and asks Vogel to help her with her problems. At the conclusion of the episode, Dexter kills Galuzzo, calling him ‘Disgusting’ for being a man eater, even though he admits that the two of them are quite alike.