Haley and Brooke prepare to re-open Karen's Café, and Nathan and Clay travel in search of new clients. Alex and Chuck are disappointed after Chase leaves for the Air Force, and Mouth and Millie start their new morning show together.
The car accident situation comes to a head, and Nathan, Julian, and Clay coach Jamie's first little league game. Chase asks Alex to take a drug test, and Quinn receives a photography job offer in Puerto Rico.
As Haley's due date approaches, she starts preparing her friends and family to make sure that they are ready when the baby arrives. Julian and Brooke prepare for their adoption, and Chuck looks to Chase to help him with a problem.
The girls plan a surprise baby shower for Haley, and the guys participate in try-outs for Jamie's baseball team. Julian and Brooke decide they'd like to adopt a child, and Mouth helps Millie prepare for her first day of work.
Brooke and Julian go skydiving, while Haley sets up a concert at Tric featuring Kid Cudi (appearing as himself). Meanwhile, Quinn revisits her past when she sneaks out of town to visit a familiar face.
Nathan makes some important advancements in his career as a sports agent during a trip to Atlanta, while Haley tries to make Jamie feel better after he gets braces. Brooke and Sylvia finally confront the tension between them, and Chase makes an important decision about his relationships with Mia and Alex.moreless
As the wedding approaches, Brooke tries to connect with Sylvia, while Julian looks for his best man at a guys' poker night. Meanwhile, Nathan struggles in his new job, while Haley's counseling abilities are challenged, and Skills returns to town with a new friend.
With Halloween approaching in Tree Hill, Brooke and Julian receive a visit from someone unexpected. Nathan kicks off a new career, and Quinn and Clay have trouble adjusting to life at the beach house. Haley and Mia host an open mic night at Tric.
When Clay is released from the hospital, Nathan starts to reconsider retiring from the NBA. Brooke and Victoria continue to debate how they should handle the company's difficult financial situation, and Chase learns some new information about Alex.
Brooke deals with the mounting financial troubles at Clothes Over Bros. Nathan and Haley come to a conclusion regarding Nathan's career. Julian begins a new film project and Alex spends an afternoon with Chase.
When Quinn begs for news on her boyfriend's condition Haley is unsure how much to tell her. Meanwhile Clay has a close call when his organs fail, and the doctor informs Nathan that donating his kidney to Clay would prevent him from continuing his basketball career. Millicent and Victoria negotiate a plea bargain with the feds and Brooke and Julian look after Jamie. Clay gets the kidney he needs from an unlikely source. moreless
Clay and Quinn fight for their lives while they have an out of body experience. Haley and Nathan prepare to tell Jamie about the pregnancy. Brooke finds herself in more troubles dealing with the latest problems with Clothes Over Bros.
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