Alex sees Jo happy with someone else after coming back and knows she will never forgive him for leaving her.
Jo and Alex enjoy a morning with their girls and later Alex and Meredith play at the park with their kids.
Alex Karev's day never truly ends, between late night teething pain, breakfast waffles, hours at the park, tantrums and train sets that circle the living room, the never ending stream of vomit, drool, hugs, and cuddles. Alex would take it all if it meant he would always have his wonderful wife, their kids, and the dog.
Jo talks with Alex about her life and her abortion in light of recent events and rallies to support pregnant people in her community.
Nora goes to book club feeling sick and discovers that she's unexpectedly pregnant. So the women of the Waverider and Charlie talk about their experiences with uterusis, unwanted pregnancies, and abortion.
Alex comes home to see that Jo has unexpectedly delivered their baby girl on the bathroom floor. Neither of them had any idea that she was pregnant before this and now they've suddenly become parents.
It's Thanksgiving 2019 and Ava has a ring burning a hole in her pocket, but after a night of fun Sara finds out she's pregnant. Now they must figure out how a baby would fit into there messy lives. All while the Bureau and the Legends are pulling them in two different directions.
Maya comes home to see Carina holding a baby as she watches Luna while Jo takes a call. Maya helps her calm the fussy infant and reflects on her feelings about having a child with Carina.
After coming back from the store, Alex is greeted with a surprise from Jo and Luna. After that, the family of three enjoy a night together.
After reconnecting at a conference in Kansas City, Alex and Jo meet up at the stone cottage covered in ivy that he had been fixing up. They spend the night together despite their relationships and although they break it off, what they did inevitably, brings them back together
As he falls asleep, Alex thinks back to the time when Jo taught him to fake cry and wonder if she really faked her tears the day they first met
It's the first Christmas that Jo and Alex are spending with Luna and Helena at home, rather than in the hospital. Both of them are determined to make it the best Christmas they've ever had. Although they don't get to go up to the mountains to see the snow, they still managed to make Christmas magical and spend it with their friends and family.
Jo goes to Kansas to confront Alex about the letter and fight for their marriage. However, nothing is as it seems, between herself and Alex, and between Alex and Izzie.