Complete story — includes the ending
While in a coma, Lucas is visited by the spirit of Keith who shows him how one life can affect the lives of others, in a nod to "It's a Wonderful Life". Lucas wonders if his life made a difference, and Keith shows him that it did. He saved Peyton's life during the shooting and saved Brooke guilt. Lucas considers going to the afterlife, but Keith shows him a future where Peyton mourned him all her life, and he decides to stay, realizing he changed her life and needs to tell her he loves her. In real life, Nathan waits at the hospital and is feeling very guilty - Haley and the baby might die, and so might Lucas. He thinks if 'Keith' had not saved him from drowning then he would have never met Daunte, and his wife and brother would not have ended up in the hospital. Once Haley is out of surgery, he visits Dan who is in jail. Nathan wants to own up but Dan won't let him. Keith visits Dan in jail and scares him. Haley wakes up and the baby still has a heartbeat. Peyton asks Brooke if they can be friends again, and she says they can, but not like they used to be. In Lucas' coma, Keith continuously takes him to the school hallway the day of the shooting and tells Lucas, who doesn't believe Jimmy killed him, to open his eyes. Lucas wakes up. This episode is named after an album by 8mm.
Sources and content license
Source and revision history · Adapted from Wikipedia contributors, One Tree Hill season 4. HTML formatting and reference markers removed. · Content license