They find Fred in his room, staring at cartoons on his TV. He doesn't even look at them when they greet him. Dean turns off the TV, but Fred continues to stare at the empty screen. "You really think this one man is causing all these shenanigans?" Castiel asks. "Well, if he is, he'd be surrounded by a circle of crazy," Dean says. To put the theory to the test, he grabs a book and beans himself. There's a metallic clang and then the chirping of birds. We don't get to see the birds, which is kind of lame. If you're going to show cartoony stuff like anvils and talking cats, you might as well go all the way with the birds. When Castiel is confused as to how Fred is able to do all this, Sam explains that Fred is so powerful that he can "reshape reality," which, again, just makes it seem weird they would never mention him. "Do we kill him?" Castiel wonders. Of course, Dr. Mahoney walks into the room just in time to hear this. "Did he just threaten to murder one of my patients?" Crosby, Stills and Nash have nothing to say for themselves. Next thing you know, the trio gets booted out of the place. Castiel offers to teleport Fred away, but Sam explains Fred is too dangerous for that. Castiel is left behind to watch over Fred invisibly while the Winchesters go maintain their stubble or whatever it is they do when they're not on screen.
Some time later, all the residents have gathered in the common room for Mrs. Rosy Cheek's birthday party. The nurse lights a comically huge candle atop a comically huge cake. At the same time, Fred is off in the corner, watching cartoons on TV. Just as the character on the screen becomes the victim of an exploding candle, Mrs. Rosy Cheeks befalls a similar fate. Pink and red goo spatters violently across the screen.
Luckily, Mrs. Rosy Cheeks is totally fine, barring a few frosting stains in her hair. It was just her cake that exploded and not her innards, although we had to wait through a commercial break to learn this. Dean returns to Sunset Fields in his street clothes and gawks at the aftermath. "What the hell happened?" he asks. "There was a pastry mishap," Castiel explains. "The frosting reached near-supersonic speeds." Sam joins them in a panic. He says Fred is gone. Dean chastises Castiel for not keeping a better eye on him. Did Naomi zap him away or something? Because there's no good reason why Castiel wouldn't notice Fred leaving. The pretty nurse wheels Mrs. Rosy Cheeks away from the mess. Or, rather, she tries to, but Mrs. Rosy cheeks calls out to Castiel: "Charles! She's wearing my diamonds!" Castiel grabs the nurse's hand, showing everyone the sparkly bracelet around her wrist. The nurse blurts out that her boyfriend gave it to her.