Kelly arrives back in Beverly Hills and reveals to Silver what happened between her and Dylan during her trip. She also confronts Ryan, who has taken a leave of absence, about the rumors that he hooked up with a student, while Ryan refuses to explain his actions to Kelly or anyone else as not to jeopardize Kimberly's undercover status to nail the drug pushers at West Beverly. On Annie's 16th birthday, Naomi sees her kissing Ethan and decides to get back at her by inviting Annie's old boyfriend, Jason, to her birthday party hoping it will break up her and Ethan, who continue to debate over keeping their blossoming romance a secret... unaware that everyone around them already knows. Meanwhile, Adrianna has dinner with Navid and his large Iranian family and she also finds out that Navid is a virgin. At the end, the big twist comes when Harry's 22-year-old illegitimate son, Sean, visits the Wilson family for the first time during Annie's party.

Annie, now in a coma and fighting for her life during surgery after being shot, wakes up and finds herself in an alternate reality where she sees what life would be like if she and her family never moved to Beverly Hills. Annie discovers herself working as an actress in a summer stock theater in Kansas and engaged to her old high school boyfriend, Jason. Annie also learns that her parents got divorced anyway, but Dixon is living in California and is a successful rap star, but to her dismay, no longer keeps in touch with his family and is living a reckless life. Navid happens to be Dixon's manager who tries to keep him under control to protect his image. Annie travels to Los Angeles and meets Naomi who works as a real estate agent had she never won her trust fund back. Teddy is a successful tennis pro-player, but has still never told anyone about his real sexual orientation. Adrianna is a successful actress and Hollywood's "bad girl" having never quit drinking, drugs or partying. Silver is a cynical Internet blog writer who isn't close to anyone and has her own website of writing dirt on celebrities. Liam is revealed to be attending college but has problems with delivering drugs for Dixon as to pay off a debt he owns to his old school rival Ty.