The episode picks up immediately after the Season 3 finale, where Elena died in a car accident with Damon Salvatore’s blood in her system.

: Begins a journey of heightened emotions and sensory overload, which eventually shifts her romantic leanings from Stefan toward Damon.

: Bonnie attempts to use dark magic to bring Elena back to life as a human but is stopped by the ghost of her grandmother, who warns her of the "spirits'" wrath.

: Elena ultimately feeds on human blood to save herself and her friends after they are captured by the Town Council. Key Subplots and Thematic Elements

: Elena must consume human blood within 24 hours to complete her transformation or she will die permanently.