After an episode of last week's caliber, nobody expected that kind of quality again from Monk. That being said this was still a pretty good, and unique episode of the USA series. Monk was funnier than usual and the altered state of mind was a refreshing change of pace and lead to some fine humor, both prop and verbal. Tony Shaloub hit the ball out of the park again with his performance in this episode.
The supporting cast of Traylor Howard and Ted Levine played off Monk well. Jason Gray-Stanford was not as funny as usual, but the plot didn't have to call for that from him. The episode was well-written and shows that Monk is still a top show after all these years on the air.