The various maladies detailed within each episode of Adjusted by Addition have metastasized to the Clocktower Studio itself, with the Narrator coming down with a momentarily debilitating case of vertigo. Birgit Huppuck took over narrating responsibilities for this episode--what happens to her next is anyone's guess.

In Episode 4, Sam, who in Episode 3 developed a severe fever and rash, wakes up in a hospital, weak but ethereal, and recovering from a kind of self-induced electro-convulsive treatment. She reveals much tawdry information to her doctor and, the following day, falls into a coma, after which point she is visited by Forrest, who comes with tawdry tales of his own.