- Hannibal has been imprisoned for three years at the Baltimore State Hospital when a new villain emerges in one Francis Dolarhyde. Jack reaches out to Will to help him track down the brutal serial killer.
- Francis Dolarhyde sits in a cafeteria and begins reading a copy of Time covering The Great Red Dragon Paintings. He is so enamored with the image that he begins to mold himself into a version of the paintings, having The Great Red Dragon and the Woman Clothed in Sun tattooed on his back and purchasing a set of custom-made jagged dentures. Three years after the events of the previous episode, Lecter has been institutionalized and Bloom is now the administrator at the hospital, due to Chilton resigning to become a best-selling author of true crime volumes. Dolarhyde practices speaking with his cleft upper lip and is then seen standing naked outside a home, covered in blood and staring up at the full moon. Chilton has dinner with Lecter in his cell, where he reveals his next book is about Dolarhyde, who has been given the nickname The Tooth Fairy. He has a conversation with Bloom, where she reveals that Lecter has written an article for the American Journal of Psychiatry refuting much of what Chilton has written about him. He suggests that Dolarhyde will inspire Lecter to "keep himself interesting". Dolarhyde is seen watching film when the projector blows out; he has a hallucination. He compiles news clippings in a large book, detailing not just his own crimes but articles on Lecter. Crawford goes to visit Graham, who is now living with his new wife Molly and her eleven year-old son. Crawford has come to get Will's assistance on the Dolarhyde killings, but he is highly resistant after his previous experiences. Molly knows that Crawford will take Graham regardless, and he promises to make it easy on him. Molly and Will have a heartfelt conversation where she encourages him to leave and help. Graham reads a letter he has received from Lecter as well as overlooking a news report on the killings before throwing both into the fire. He travels to Buffalo, New York, and reenacts the killing in his mind. Price, Zeller, and Graham determine that the killer placed pieces of broken mirror in the eyes of the victims so he could look at himself, obtain a partial print off one of the victims' eyes, and create a mold of his distinctive teeth. Dolarhyde works in his house, where he begins to have another hallucination. Graham tells Crawford that he has to go visit Lecter. He and Lecter greet one another in the asylum.
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