Moments before mobster Joey Arnello is set to reveal his mob secrets in federal court, he ends up collapsing. A court order instructs House to find out if he is faking and quickly. House and his team struggle to diagnose and cure Joey mainly because his brother, Bill, is dead set against Joey testifying at all. In the meantime, Cuddy tries to convince a disbelieving Vogler that House is actually an essential part of the hospital and not just costly as he thinks. Joey keeps mysteriously slipping in and out of a coma and now that his job is on the line, House decides it's time to make an exception to his own policy and tries to get to know his patient.