House meets his most formidable enemy in this episode- and he makes Vogler look like House's number one fan. Tritter is a great prospect of a character, and the writers cleverly showed a clinic patient getting back at House. The rectal-therometer was classic House, but with House getting arrested at the end of the episode, it seems he may have bitten off more than he can chew this time.
The case itself was also very entertaining, with the young couple in love having a quite Shakespearian tone to it. Foremans reactions to the couple was quite entertaining ,especially as he clashed with the male. The twist at the end was horrifying, and quite sad for the couple.
The one liners and dramatic turns are really working at the moment, as the Season has been a lot darker than the last- even the lighting is much darker! Nevertheless, the humour still hits the right spots- House losing a bet was a first, but a very funny first.
Overall, the Season has hit its first story arc, and is beginning to hit a stride comparable with the last Season.