Fantasy JD and Elliott ride his donkey to the Forbidden Forest. The Giant Janitor warns them that the Dark Lord is near. In reality, Janitor helps JD and Elliott hide so that Kelso won't yell at them for working overtime.
Fantasy JD and Elliott get discovered by Dark Lord Kelso and he makes them disappear. Giant Janitor asks Hunchback Ted why he works for the Dark Lord, and Ted says that he has a confidence problem. Janitor invites him to "hollow out some villagers and use them as kites." They take off down the path together, holding hands. Aw! It's actually kind of cute.
JD and Elliott are being held in chains in some dank dungeon. Elliott says that she can't believe she's going to die with JD, but then admits that she did try to kiss him. JD says that they both did it, and wonders if the kiss meant anything. Elliott says there's only one way to find out. They lean in for a kiss, but they can't reach each other, due to the chains. Plus they're interrupted by Dark Lord Kelso.
In reality, Kelso is telling JD and Elliott that they're both suspended. Elliott reminds him that he can't suspend her, because she's private practice. JD says he's had zero patient interaction, so there's no liability. Kelso realizes that this whole thing can't come back on him, and orders them to get out.
Fantasy JD and Elliott are dumped from the dungeon. JD finds some horse manure to fix his hair, which really does look lovely. He goes to kiss Elliott again, but she's back on track to help her handmaiden. JD remembers Knight Cox telling him to remember what he heard when he wasn't listening. He's distracted by some Intern Wood Nymphs standing on a book.
Reality JD remembers overhearing the interns playing Jeopardy, and one of the responses was Wilson's Disease. He realizes that's what the patient has.
Fantasy JD is given a golden ring by the wood nymphs. He turns his donkey into a horse, and he and Elliott ride back to the cottage in the woods. They rush inside, and JD holds up the golden ring, which causes the smoke monster to disappear.
In a really cool effect, the cottage morphs into a hospital room. JD checks the patient for the telling symptom of Wilson's Disease -- a golden ring around the eye. Cox congratulates them on a great diagnosis and says they need to hope for a liver transplant now.
Back in fantasy land, everyone is happy. Turla are kissing each other. Janitor and Ted are flying kites. The knight leaves to fight another battle. And Elliott and JD decide that they are better off being friends because, as Cox puts it, "they're both idiots." Jack asks about the handmaiden, and Cox says that she lived happily ever after. He kisses his son goodnight and leaves the room to find Jordan sitting outside the door, listening. She wants to know if Elliott's patient got her liver in time and made it. Cox sits down and takes his wife's hand and declares, "Let's just say, that's the way I'm telling it."