In their suite at the Genoa City Athletic Club, Victor presented Nikki with a gift-wrapped house key, and he explained that they would be moving back to the ranch. Nikki was surprised that Ashley had changed her mind about leaving the ranch. Victor browsed local news items on the Internet and learned that "Patty" was in the hospital after attempting suicide. Nikki explained that she had go to the hospital to comfort Paul. Victor furrowed his brow as he read another news item and said that he also had something to do.
At the church, strains of "Here Comes the Bride" filled the sanctuary as Patty, dressed in Emily's wedding gown, proceeded down the aisle. Patty stood frozen after she spotted Father Todd standing beside Jack near the altar. Patty seemed even more unnerved when she noticed Phyllis among the wedding guests. Chloe discreetly approached Patty and urged her to continue down the aisle. Jack joined his arm to Patty's as they stood before Father Todd, and the ceremony commenced.
Jack bowed reverently, but Patty trembled and nervously fingered her rosary during the prayer. Father Todd paused briefly and asked, "Emily, are you okay?" Patty fought back tears and nodded affirmatively. Patty seemed transfixed as she gazed hypnotically into Father Todd's eyes. Patty averted her gaze, but she seemed similarly spellbound by the crucifix suspended above the altar. Honor attendants Ashley and Billy glanced curiously at Patty, as Father Todd continued.
Father Todd prompted the betrothed couple to address each other with personal sentiments. Patty seethed in silence when Jack repeatedly addressed her as Emily. Jack concluded by professing his undying love for his bride. Patty told Jack that she'd been alone for a long time and had been hoping that he'd come back into her life. Patty stuttered and paused before dropping the word "back" as she regained her composure and repeated the last four words of her speech. After Father Todd guided the bride and groom through the recitation of their vows, Jack and Patty exchanged rings. Father Todd said, "Jack and Emily, I pronounce you husband and wife." Jack kissed his bride as guests warmly applauded the couple.
Jack, Patty, and their wedding guest celebrated together at the Abbott mansion. Traci proposed the first toast to "Emily" for making Jack happy again. Patty, holding a glass of champagne, told Jack that she preferred a glass of water, and she headed toward the kitchen. On the way, Patty encountered Phyllis and Nick. Jack joined Patty and listened as Phyllis congratulated the couple and updated Jack about Summer's progress. Phyllis invited Jack to stop by and visit with Summer. Patty recoiled tensely. Phyllis and Nick excused themselves and left.
Katherine and Murphy greeted the newlyweds. Patty excused herself and left to get the glass of water. Katherine asked Jack if his bride was all right. Jack claimed that Emily was exhausted because it had been a long day. In the kitchen, Patty downed a glass of water as Father Todd approached. Patty thanked the priest for performing the ceremony and added, "I am glad you were the one to do it." Baffled, Father Todd responded, "I hadn't even met you before." Patty claimed that Father Todd's words had reminded her of a previous wedding she had attended. Jack joined Patty, and Father Todd wished them well before he left.
Jack expressed concern about "Emily's" somber mood. Patty cried and explained that she missed her family. Jack embraced Patty and said, "I am your family." Chloe gathered the guests and told "Emily" that it was time to announce her secret surprise for Jack. Patty was confused, but she played along and announced that she and Jack planned to start a family right away. Guests seemed confused. Chloe whispered to Patty and asked if she planned to share her real secret later. Jack took over caring for his bride and excused Chloe for the remainder of the evening.
Billy, Ashley, and Jack each proposed toasts to their brother and his bride. Jack's siblings welcomed "Emily" to their family. A slamming door rudely disturbed the festivities. Guests turned and discovered Victor standing in the entryway. Patty averted her gaze as Victor, holding a wrapped gift, announced, "Seems I arrived at just the right time."
Jack told Victor that the reception was a private affair for invited guests. Neil echoed Jack's sentiments. Victor asked Neil if he spoke for Jack. Neil responded that he spoke for everyone at the party. Victor insisted that he'd come to deliver a gift and he told "Emily" that he hoped he hadn't caused her undue stress. Before Victor turned to leave, he addressed Jack and said, "I hope this marriage will bring you everything you deserve."
Traci intercepted Victor and asked to speak with him. Alone together, Traci told Victor that she had given him a part of her heart, through Colleen, because it was the best part of her. Traci told Victor that he was wasting the heart of a beautiful person by perpetuating a petty feud against Jack. Traci asked, "How many lives is this worth?" Katherine and Murphy interrupted and insisted that Victor leave with them. Victor kissed Traci on the cheek and told her that she was the heart of her family. Before Victor walked out, he lingered in the doorway and glared at Jack. Jack slammed the door in Victor's face.
With fanfare, Jack and Patty cut their wedding cake, which was topped with a pair of intertwined porcelain hearts. Jack placed a bite of cake into Patty's mouth, and then he ate a bite. The newlyweds kissed, and Jack looked like he was on top of the world. As the guests left, Traci told Jack that she wanted him to be happy. When Jack returned to the sitting room, Patty was slumped in a chair and appeared despondent and glassy-eyed. Jack told "Emily" she looked tired, and he reminded her that they had an early flight the following day. Jack suggested that they could delay their honeymoon night, but Patty perked up and insisted that she didn't want to wait.
Jack swooped up Patty in his arms and carried her upstairs. In bed, amid flickering candles, Patty kissed Jack hungrily and pawed at him aggressively. Jack, taken aback, said, "Hey, slow down. We have all the time in the world." Patty embraced Jack and sobbed softly. Jack comforted his new bride, and they made love.
Father Todd's prayer for Emily, backed by chanting vocalizations, provided the soundtrack as Jack consummated his marriage to Patty. Father Todd prayed, "Watch, Oh Lord, those who wake or weep tonight, and give your angels charge over those who sleep. Tend your sick, rest your weary, bless your dying, soothe your suffering, pity your afflicted, and shield your joyous, for all love's sake. Amen."
At the hospital, a vigilant Paul remained at the bedside of an unconscious Emily because he believed she was his beloved sister, Patty. Paul ran for help after Emily's heart stopped. Doctors and nurses rushed in and managed to shock Emily's heart back into a normal rhythm. A doctor told Paul to prepare for the worst because "Patty's" prognosis was poor.
Nikki arrived at the hospital to comfort her friend. Paul explained that Patty had hoarded her medication, and then she overdosed after learning about Jack and Emily's wedding. Paul said, "Isn't it ironic that Patty's lying here while they're getting married?" In her bed, Emily's eyelids fluttered softly, and she thought, "Where am I? I am supposed to be at my wedding." Emily's immobile hands clasped a string of rosary beads.
Seated together in Emily's room, Paul told Nikki that he had let Patty down. Paul explained that it seemed unfair that Jack was getting married. Emily overheard and thought, "They think I am Patty. Patty pushed me, and I hit my head. Patty forced me to drink that water. What was in it? Patty must be with Jack. She must be pretending to be me." Father Todd arrived, and Nikki left.
Paul fought back tears as he told Father Todd that doctors didn't believe that "Patty" would make it through the night. Emily overheard and thought, "Oh, God!" Father Todd urged Paul to share his feelings with their sister. Paul sat beside Emily's bed and held her hand as he called out, "Sweet Patty-cake." Emily overheard and thought, "Paul, can't you see that I am not your sister? Paul, I am not Patty; I am Emily-Emily!" Father Todd knelt by Emily's bedside and prayed.
At the tack house, Nick told Phyllis that he was concerned about Victoria's crumbling marriage. Phyllis agreed that once open communication between couples eroded, the relationship suffered. Nick insisted that couples should not take anything for granted. Nick said he'd been thinking about the promises they'd made to each other. Phyllis added that sometimes couples became distracted with other worries and didn't appreciate what they had. Nick and Phyllis agreed that they were lucky, and they vowed to appreciate the little things.
Winking, Phyllis told Nick that she'd be wearing his Valentine's Day gift when he saw her upstairs in their bedroom. After Phyllis ascended the stairs, Nick retrieved a gift bag from a cabinet. Phyllis' cell phone rang, and Nick opened her purse and answered the call. Their sitter, Amy, had phoned, and Nick agreed to relay to Phyllis that Summer was fine. As Nick replaced Phyllis' phone in her purse, he discovered the visitor's nametag Phyllis wore at the Harvard Alumni Relations office when she went to ask questions about Dr. Taylor and his affiliation with Adam.
At Lauren and Michael's condo, the couple ate delicious appetizers, and then they danced in their candlelit living room. Lauren apologized to Michael and said she knew she hadn't been the easiest person to live with. While Michael toiled in the kitchen on his entrée, Lauren changed into a skimpy, black negligee. When Michael saw Lauren, he forgot about dinner and whisked his wife upstairs. After the couple returned to finish their meal, Michael discovered that his dinner had burned. Lauren ordered a pizza and insisted that she wasn't sorry that they were doing what they were doing while their food burned.