This episode is a crazy little Ben Edlund special. There are some important revelations, but they're cloaked in a ton of surreal fun. Sam finds reports that indicate a possible vengeful spirit is haunting the shower facility at a woman's health center in Concrete, Washington. Hero that he is, Dean resolves to save them at any cost. In Concrete, all seems well at first. The woman who reported the shower spook seems more crazy than she does haunted, but little things seem off. There's a report of Big Foot wandering the town; a local man's just won $168 million in the lottery; Concrete's Geek Supreme is engaged to one of the hottest women around; and a little bully-magnet named Todd has developed super strength and is turning the tables on his oppressors.

Tracking Big Foot leads the Winchesters to a giant Teddy Bear who's come to life. His owner is a little girl named Audrey. She explains to the boys that she tossed a coin into a fountain at Lucky Chan's restaurant, and Teddy came to life. When Audrey's parents wished they were in Bali, they disappeared, so Audrey assumes they're in Bali. Sam and Dean pose as Teddy Bear doctors, and tell Audrey her bear has Lollipop Disease, so that they can interview it. The bear is drunk and (unsuccessfully) suicidal though, because his life has no purpose -- even though Audrey reminds him it's tea parties!

Posing as health inspectors, the boys drain the fountain at Lucky Chan's and find an ancient coin at the bottom that will not move -- even when Dean tries the sledge hammer and crow bar approach. Sam does a rubbing of it, and sends Dean off to research the image, but I'll tell you who's on it -- that's Raoul. Sam returns to the health club and discovers the shower spook is not actually a ghost -- just an awkward redheaded kid who is whiter than any ghost. He wished to be invisible, so that he could spy on naked women. The only person in Concrete who's actually being haunted is Dean -- and his tormenter is his own mind (Teddy doesn't count, because he's a bear). Dean remembers his time in Hell, even though he swears to Sam that he doesn't. His increased drinking and nightmares prove he's a LYING LIAR WHO LIES, though.

Dean identifies the image on the coin as that of Tiamat -- the embodiment of chaos (but I'm telling you -- it's Raoul). Although everything starts out nice when people make wishes, it soon turns bad, like the Italian sub with jalapeños that Dean ordered when he tested the wish theory. In order to remove the coin from the fountain and reverse the ever encroaching chaos, they need to find the first wisher. The Winchesters determine Geek Supreme -- Wesley Mondale probably made the first wish a month ago, right before his "surprise engagement" to local hottie Hope Lynn Casey. The boys track down Wesley and even his idyllic love affair is beginning to sour. Hope's more desperately in love than happily in love. They finally convince Wes that he's got to remove the coin from the fountain. Hope overhears them though, and sets out to thwart them, because she doesn't want their love to end. She's bewitched, bothered and bewildered. When Dean helps Todd-the-bully-magnet turn the tables on his oppressors without violence, Hope wishes Sam dead, and he's struck by lightning that blows him right out of his sneakers. Seeing what his wish has wrought convinces Wesley to do the right thing. He removes the coin from the fountain. Audrey's bear goes back to normal. Her parents come home from Bali. Todd's super-strength disappears. Sam is alive again. And? Hope doesn't even know who Wesley is.

After Sam has the coin melted down, Dean admits to him that he remembers every single thing that happened to him in Hell. He won't be a LYING LIAR WHO LIES about that anymore, but he's not going to talk about it with Sam, either. Dean says Sam could never understand, and he could never make him understand. I bet Teddy would understand.

Next week's episode is "I Know What You Did Last Summer." Sam catches Dean up on his solitary summer and how Ruby came to his rescue. The three of them team up to search for a woman who can hear angels.