When a pediatrician convicted of abusing patients is found dead, Stabler and Benson investigate and soon find ADA Cabot has a reason for becoming involved in the case.

Detectives Olivia Benson and Eliot Stabler find a woman bleeding from the neck and nearly dead. The woman dies before they reach the hospital, and soon the investigation leads them to the frontman of the death metal band Vampyre Sacrifyce. He bites girls, steals blood from the local blood bank and sings about violence to women all in the name of his strange, vampiric lifestyle. The singer claims he was nowhere near the scene of the crime, and soon a lesbian rights group led by Babs Duffy gets involved, claiming the victim's death was a result of police neglect. However, when more women from Babs's group are attacked, it becomes clear that the victim's case wasn't an isolated incident and that someone out there has a larger plan to bring the group down.

Detective Saliyah "Sunny" Qadri goes in search of Brooklyn District Attorney Page Ferguson, who she fears may be in danger. Qadri finds Ferguson just in time to witness her fall from the top of a parking garage. When Benson arrives, she discovers that the crime scene has been tampered with. Benson turns to an old friend, Assistant U.S. Attorney Christine Danielson for help. As the investigation progresses, Benson begins to question Ferguson’s suspicious past and Qadri’s involvement in the case.

When a young woman finds a teenage boy asleep and naked in her bedroom, his mother, Bree Walsh, is quick to defend him. While Detective Benson and Detective Stabler try to figure out what truly happened, they also have to manage the sneaky teenager and his naive mother. As the detectives dig deeper, they discover how deceptive appearances can be.