Tag to 9.23 Do You Believe in Miracles? - Missing Bunker scene. Crowley never showed.
Tag to 8.19 Taxi Driver: The Trials are screwing with Sam. Back at the Bunker, Dean's forced to face the reality of what's really going on.
Tag to 10.03 Soul Survivor: Dean gets his cholesterol and Sam gets drunk. But neither really get what they want.
Set Season 4: Blood, Sex, & Violence. Or the first time Sam Winchester said yes. Angsty!Sam, Manipulative!Ruby
Missing scene from 10.10 The Hunter Games - Sam witnesses the unpleasant side effects of an unsated Mark.
Niko told him not to. Cal didn't listen. The gate may have saved their lives but now both brothers are suffering the consequences.
Post 10.07 Girls Girls Girls: Sam and Dean share a Thanksgiving meal. Cooking and caring and brother fluff.
Post 7.16 Out With the Old: Sleep deprivation sucks. But anything's better than sleeping. He decides it's time for a little boost. Then again, Sam's never been the wisest decision maker...
Missing Scene 4.06 Yellow Fever: Dean has a panic attack. Sam accidentally gets him drunk. Set just before the "you're awesome" scene at the police station.
Short missing scene from 9.21, King of the Damned - Dean isn't fine.
Missing scene to 9.19 Alex Annie Alexis Ann: Sam had lost a lot of blood...
Indulgent one-shot: Dean's in bad shape and fading fast, Sam's just trying not to panic. A little care-taker role reversal with Worried/Caring!Sam and Hurt/Loopy!Dean. You've been warned.