Back at the psych hospital, Bloom is grilling Gideon again. She wants to know why he was a model prisoner for two years before playing pin the tail on the donkey with the night nurse. Later, the psychologists -- Bloom and the head of the psych hospital -- are having a dinner party at Lecter's house, of course, because this show can't go a single episode without reminding us that Lecter likes to eat people. As the doctors toast to the opportunity to examine a true psychopath (Gideon), Lecter serves up plates of tongue and says something about "having an old friend for dinner." Ugh, this show is good enough that it doesn't need the clunky, on-the-nose dialogue. Over some poor sap's body parts, Bloom asks the head of the hospital, "Is it possible that you inadvertently planted the idea in Gideon's mind that he was the Ripper?" The doctor swears he was not unethically manipulating Gideon, but no one seems to believe it, because up until this moment the doctor seems proud of having the Ripper in his facility under his care. Lecter pulls the hospital head aside and promises that he is much more forgiving of the unorthodox than Dr. Bloom. The look the doc gives him suggests that this could be the start of a beautiful friendship.
Crawford gets another call from "Miriam." This time the call can be traced and the FBI team follows the electronic trail to an abandoned observatory. They find the cellphone. It's in Miriam's hand... which is not attached to her body. Nearby is a note that reads, "What do you see?" which may have been what Crawford said to her during training.
Later, Crawford goes to chat with his new BFF, Hannibal Lecter. They sit by the fire sipping digestifs as Lecter gently queries, "What would be the benefit of letting you think that your trainee is alive?" "Hope," Crawford answers. Lecter segues from hope for his recruit to not giving up hope for his wife. Crawford can't believe that the Ripper would even want him to think his recruit was alive. Lecter shrugs and offers a toast that cues a flashback to Miriam interviewing Lecter about a patient named Jeremy Olmstead, who was a victim of the Ripper. Lecter can't remember the man, but offers to get Miriam the journals that he kept during his time as an ER doctor. He leaves her alone to discover his drawings of a man killed exactly the same way as the Ripper's victim (clearly Saint Sebastian inspired). So Lecter killed her, strangling her with his bare hands. Cut back to Lecter sitting by the fire with Crawford, toasting to the memory of Miriam.