Young members of a Christmas ice skating show come to the emergency room after getting injured by an ice-cleaning machine driven by a drunk. Then a man (BRANDON MAGGART) who strongly resembles Santa Claus comes in with a hand injury from making toys. He is glad the toys are all done so that he won't disappoint any children.

Benton is surprised to be invited by Vucelich to consult with his patient about undergoing Vucelich's new clamp-and-run surgical procedure--until Benton sees that the patient is black. He is further dismayed when Carter is able to convince the patient's wife that her husband should consent to the procedure, and Vucelich invites Carter to watch.

A survivor of Nazi atrocities (JOAN COPELAND) is treated in the emergency room after being the victim of a carjacking. Her baby granddaughter was accidentally taken with the car. The woman's faith in God is restored when the baby is found.

Meanwhile, a group of gang members brings in their beloved priest (TONY PLANA), who has been shot. Although the priest denies it before dying, the gang members believe he was shot by a rival gang and vow revenge.

Ross treats a boy (SEAN MURRAY) who was accidentally shot in the shoulder by his father (DANNY GOLDRING). Carter buys an expensive gift for Harper. Weaver receives a surprise visit from a former boyfriend from Zimbabwe. Hathaway volunteers the reluctant emergency room staff to sing Christmas carols. The staff holds the party at Hathaway's house, which is slowly falling apart.