After the explosion, Ian, Jamal, Jack and Casey go underground to help the injured. Ian, Jamal and Casey help an unconscious Lucy, but Casey gets a vision of Lucy in a coffin. Casey is later confused when Lucy comes to. Rafe, who survived the blast, checks on an unconscious Caleb but Jack refuses to help him. Jack later tries to kill Caleb but Alison and Rafe stop him. Livvie goes to Joshua, fearing something happened to Caleb, and he says Caleb died. Joshua realizes she's now a vampire and is protected by Caleb's ring but he convinces her to leave with him. Caleb reluctantly take Rafe's hand to pull him to safety.

Casey's preoccupied with her vision of Lucy in a coffin even after learning that Lucy's going to be okay. Mary inadvertently delivers Ian's goodbye letter to Lucy, who's upset to learn Ian asked Rafe to slay him. Rafe and Ian explain all vampires must be destroyed, but Lucy says she won't let Ian die. Joshua learns Caleb's alive but lies to Livvie that he's dead. Livvie dreams Caleb returns to her and she vows to find him. Chris treats an injured Caleb, who's having trouble adjusting to mortality. Caleb dreams Livvie turns him back into a vampire and when he wakes up, he vows to go to her. Caleb gets a visit from Joshua.

Casey won't reveal to Alison what she knows about the future. Ian makes a promise to Lucy that he will fight for his life and their relationship. Karen discovers Frank's been gambling again and lying to her about it. Elizabeth learns Caleb is no longer a vampire, but Alison advises her to stay away from both Caleb and Joshua. Rafe shows up in Caleb's room before Joshua can kill Caleb but Joshua escapes. Livvie visits Kevin, who realizes she's no longer Tess and is now a vampire. Kevin promises to protect her, but then Joshua arrives, demanding to see Livvie. Caleb escapes from his room and runs into Elizabeth.

Rafe's upset that he let Joshua go, but Alison gives him a clue to Joshua's hideout. Elizabeth berates Caleb for throwing away their marriage due to his obsession with ""Olivia,"" however, he manages to sweet talk her into helping escape from the hospital. Caleb then takes off in a helicopter. Livvie reveals herself when Joshua chokes Kevin. Joshua lies that Caleb's cremated and offers to protect Livvie, but when Kevin and Livvie insist she stay at the lighthouse, Joshua decides to stay too. Joshua is impressed with Kevin's painting. Rafe breaks into Joshua's hideout, as Ali arrives at the lighthouse looking for Livive.

Livvie hides when Alison visits Kevin, who claims he doesn't know where Livvie is. After Kevin kicks Ali out, he and Livvie argue about Caleb. Kevin learns Caleb's alive but doesn't tell Livvie. At Joshua's hideout, Rafe and Ian find pics of buildings in Port Charles. When Rafe and Ian also discover photos of Livvie and Alison, they realize Joshua is obsessed with them. Ali finds a pink rose she thinks is from Rafe but it turns black when she smells it. Caleb arrives at his villa but doesn't find Livvie. He follows her voice through a maze of silk curtains, but then is ensnared in the curtains just as Joshua arrives.

Ian calls Lucy to tell her about Joshua's obsession with Ali and Livvie. As Lucy gets off the phone with Ian, she is suddenly dizzy. Joshua is pleased that he has ensnared Caleb in the silk curtains and begins to torment him by telling him that he and Livvie will live happily ever after together. Caleb tells Joshua he is fooling himself if he thinks Livvie will turn to him. Ian attempts to figure out Joshua's password to gain access to his computer. After many failed attempts, Ian types in the correct password--""Ring"". Joshua locks Caleb in a jail cell where he continues to torment him. Rafe takes Ali to Lucy for safekeeping. Rafe discovers Livvie on his doorstep and she asks him to kill her.

Livvie can't face living for all eternity without Caleb and she pleads with Rafe to kill her. Casey and Jamal tell Ricky about the explosion and that the vampires have lost their ""mojo."" As a result, Ricky wants to use the information to further his music career. Joshua demands Kevin tell him where Livvie is. As Rafe raises a stake to drive it through Livvie's heart, his instincts tell him to stop. Rafe tells Livvie that Joshua was the one who set the explosives that ""killed"" Caleb and that he wants to take over Caleb's position as top vampire. Livvie and Rafe decide to work together to bring down Joshua. Joshua turns Frank.

Lucy continues to suffer from dizzy spells. Joshua tells Frank that he is a vampire, his first recruit, but Frank doesn't believe him. When Ian brings Livvie a pint of blood, so she can feed, she realizes that he is a vampire. Ian shows Rafe the list he downloaded from Joshua's computer, containing Frank's name not realizing what the list signifies. Joshua gives Frank his first assignment. Frank shows up at Lucy's and asks if he can come in.

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Livvie finds Caleb, who tells her he is no longer a vampire. Lucy regains consciousness and tells Ian that Frank is a vampire and he took Allison. Casey shares with Jamal that she had a vision that Lucy died. Rafe releases Joshua thinking he will release Allison, but instead he administers a shot that renders Rafe unconscious. Ian takes Lucy to the hospital to run tests. Before Livvie can feed on Caleb, turning him into a vampire again, she is wrestled away.

Frank tells Lucy she is delusional, after she accuses him of being a vampire and kidnapping Allison. Ian apologizes to Frank and makes excuses for Lucy in hopes that he can find out the truth. Rafe tries to use his slayer powers to escape the jail cell and rescue Allison, but he is unable to summon his powers. Allison reappears wearing a red dress Joshua provided. As Joshua makes small talk, Allison demands to know what he has done with Rafe. Caleb tells Rafe if Livvie doesn't feed soon she will die. Joshua becomes angry with Allison and locks her in the jail cell with Caleb.

Ian tricks Frank into revealing he's a vampire. Joshua accompanies Allison to the jail cells, where he puts her with Caleb. Without the ability to feed, Livvie continues to suffer. Lucy and Elizabeth search Joshua's to find clues where Allison is, but all they find is a set of wedding rings. Joshua announces that Livvie's suffering will cease if she and Rafe sleep together. Caleb tells Livvie to do what she needs to do to survive. When Joshua comes home unexpectedly, Lucy hides and Elizabeth tells Joshua she found the rings and her answer is yes. Caleb cuts his arm so Livvie can feed.

Elizabeth attempts to cozy up to Joshua. Ian tells Frank he will offer himself to Joshua in exchange for Allison. Kevin's painting depicts his view of reality. As Joshua is about to turn Elizabeth, Lucy emerges from the closet with a homemade stake and Ian and Frank arrive. Frank tells Joshua that Ian is a vampire. Joshua realizes that Ian, Lucy & Elizabeth are working together.

Elizabeth tells Joshua he can have anything he wants from her as long as he tells her where Allison is. Rafe tells Caleb about Joshua's photo collage of Allison and Livvie. Joshua orders Frank to kill Elizabeth, but Ian saves her. Joshua escapes and Lucy goes after him. Rafe and Caleb collaborate in order to escape from the jail cells. Ian and Frank fight and Ian drives a crystal trophy through Frank's heart. Lucy catches up with Joshua, however, Joshua gets the upper hand after Lucy realizes she has lost her slayer powers.

Lucy is upset when she concludes she is losing her slayer powers. Ian tries to assuage Lucy's fears by telling her she is fine and everything will be alright and they make love. However, this time their lovemaking doesn't satisfy Ian's hunger further upsetting Lucy. While Caleb tries the keys to unlock Livvie's cell, Rafe regains consciousness and tells Caleb that he hid the key because he knew Caleb would double-cross him. Caleb frustrated that he can't rescue Livvie, confronts Joshua and they fight. During the altercation, Joshua slashes Caleb's throat. Allison and Rafe find Caleb still alive and Allison pleads with Rafe to help Caleb.

Frank is angry and vows revenge on Ian. Ian realizes that there is more wrong with Lucy than they both want to admit. Joshua offers Livvie freedom from the cells if she gives him Caleb's ring, but she refuses. Rafe reluctently helps Caleb. Ian and Lucy arrive and as Ian is treating Caleb, Caleb tries to tempt Ian into biting him. When Lucy tells Rafe she is losing her powers, Rafe isn't surprised telling her that he thinks the healing pool has drained her of her slayer powers. Joshua is waiting for Kevin.

Casey has another vision about Lucy's impending death and she rushes to Lucy's to check on her. While Lucy is sleeping, Ian takes a drop of her blood. Joshua plunges a syringe into Kevin's neck. While talking with Lucy, Casey blurts out, ""you're so dead"" which spooks Lucy. Ian rushes to the hospital and asks Chris to run tests on Lucy's blood. Casey decides to help Lucy ""recharge"" and takes Lucy's hand and transfers her energy to Lucy. Kevin thinks Joshua has turned him, but Joshua explains he wants Kevin to paint his visions. Lucy finds an empty blood bag in the trash and realizes she is no longer capable of helping Ian. Chris and Ian discover that Lucy is being poisoned by her own blood.

Livvie, once again, is suffering from not feeding. Frank insists that he drive Victor to his appointment as the new building commissioner. When Victor and Frank arrive at the councilman's chambers, Victor is welcomed, however, unbeknownst to him, Frank is following Joshua's instructions to turn him. Joshua introduces himself to Mary and Karen as the new owner of the Recovery Room. Rafe attempts to decode Joshua's list, but is unsuccessful. Caleb pleads with Allision to release him so that he can return to Livvie.

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Lucy convinces Ian to accompany her to Victor's party, before returning to the hospital for additional tests. Victor doesn't understand why he feels so young and vibrant. Allison and Caleb return to the villa to free Livvie. Victor proposes a toast to Joshua as the new owner of the Recovery Room. Livvie, Caleb, Rafe and Allison see Kevin's painting depicting Joshua's ""vampire nation.""

Caleb is upset when Livvie tells him that Joshua has the ring. Joshua attempts to sway Ian to the dark side, but Ian vows he will continue to fight Joshua and the other vampires. Rafe tells Caleb the only way he can defeat Joshua now is to remain human and Livvie reluctantly agrees. Lucy pleads with Victor to fight Joshua, however, it's too late, as Victor tells her he enjoys the power Joshua has given him. Karen realizes Frank is a vampire.

Karen is afraid of Frank now that he is a vampire. Caleb asks Livvie to turn him, but she refuses. When he demands to know why, she explains Joshua told her that the blood she drank had something in it so now anyone she bites will die. To test whether Joshua told her the truth, Livvie bites one of Joshua's henchmen and he dies. Jack makes a deal with Joshua to manage Elixir. Rafe shares with Allison his plan and they set off to carry it out.

Joshua tells Elizabeth he wants to turn Allison and demands she help ease Allison into her new life as his wife. Elizabeth tells Joshua she will kill him before she allows him to hurt Allison. Livvie is able to fend off her need to feed while she and Caleb make love. Frank searches for Allison. When Frank attempts to kidnap Allison from Rafe, he discovers that it really is Lucy and Ian in disguise. Allison and Rafe reappear in Caleb's cave.

Ian insists Lucy go to the hospital for additional testing, but she cojoles him into changing his mind after convincing him she is feeling better. Joshua is upset after Frank tells him that Allison got away. Elizabeth and Kevin flirt with one another. Caleb offers to strike a deal with Joshua--he will deliver Allison in exchange for the antidote.