In the year 1555, England, the Queen's reign is at a pivotal moment as she prepares to give birth. Her sister's unannounced arrival sets the stage for a tense confrontation. The Queen's words, "the baby is a monster," echo through the air, shattering any semblance of peace. Dark figures materialize, their presence ominous, and they tell Mary that it's time for the child to be taken. They explain that the baby boy has waited over 6000 years for this moment, and Mary promised them this child in exchange for her successful reign. Elizabeth, the Queen, makes it clear that she won't make any such promises, and the strange figures inform her that she will become barren. The news sends her into agony, and as they vanish, Mary urges Elizabeth to leave.
Cut to the present day, and Anna confronts Dex about Sonia. Dex offers excuses, and Anna tells him she saw Mrs. Preecher in town. Dex agrees to go to the doctor with her the next day. As Anna enters the house with an animal's corpse, she faces a confrontation with Nicolette. She takes the dead animal to the basement and puts it in a bassinet as if it were a baby. A black cat startles her, and she retreats upstairs. As she leaves, she hears something from the basement.
Anna visits Siobhan and meets the Ashleys, who are eerily the same women from 1555. They are there for a PR crisis meeting, hoping to create a reel to improve Anna's image. Back at her home, a new security system is installed, and Dex's mother is there for some reason. She asks Dex to testify for her in a lawsuit against his father. Anna notices her hair falling out and stomps on the mirror in a fit of rage.
At the doctor's office, they find a heartbeat, and the baby is fine. The doctor explains the issues away as vanishing twin syndrome, but Anna and Dex question this dismissal. As they leave, Anna sees Nurse Ivy, but Dex can't see her.
Siobhan is having a secret affair with the director of Anna's latest film and reminds him not to tell anyone how he got the idea for the film. Anna relents and does the reel about female bodily autonomy to improve her image. Dex has lunch with his mother, discussing kids and the prospect of abortion, with his mother disapproving of them having a family.
At Talia's house, Nicolette congratulates Anna on her pregnancy. Flowers arrive with a creepy note that says, "You can't trust any of them." Anna can't sleep at night and gets up to find a snack. She finds the photo of Dex with his dead wife but imagines it's Sonia. Then she eats a jar of pickles and ice cream before venturing into the basement but can't open the door. She falls and hits her head, waking up to approach the bassinet and put the dead animal in it. Her gums begin to bleed as she listens to the Golden Globe nomination announcement. It turns out she's been nominated, and she starts eating the dead animal in a fit of despair and delusion.
