The episode begins with host David Cummings introducing the No Sleep Podcast's return to its regular schedule. The first story follows Roger Hogue, a government bureaucrat tasked with ensuring financial accountability in psychiatric services. He visits the Hubert Clinic, a privately funded asylum, where he encounters Dr. Marquardt and two patients exhibiting a new, terrifying form of mental illness. The story explores themes of evolution in mental disorders and the potential for rage to manifest physically. The second tale involves a college freshman, Rachel, who joins a sorority with a sinister initiation ritual. She is forced to confront her fears, including eating a cockroach, as part of the hazing process. The story delves into themes of peer pressure and the dark side of sorority life. Both stories highlight the horror of human nature and the unknown.