While Twitch lies in a coma, Sam unknowingly trades favors with Spawn for a miraculous recovery. Sam continues trying to solve the latest, seemingly senseless murders of the homeless but leaves the morgue with more questions than answers after the coroner shows Sam an unusual mark on the latest victim. Meanwhile, Spawn and Cog search a museum of antiquities for ancient answers to the mysteries of the murders and they also find an image of the same mark. Later, Spawn confronts Sam and a recovered Twitch about the results of their detective work even as another body is discovered and this time, it's a child.
