"The Ice Truck Killer" strikes again and new homicide officer Debra is assigned the case, but she gets reprimanded for violating the chain of command; flashbacks offer insight into Dexter's homicidal tendencies and take him back to his first time "taking out the garbage"; Doakes gets on the bad side of a drug kingpin.

As Dexter stalks his next victim, a drunk driver who is about to be acquitted for vehicular homicide that resulted in the death of a teenage boy, the Ice Truck Killer strikes again and later gets in touch with Dexter. Meanwhile, when a cop is found murdered, Dexter helps Doakes and Debra investigate a crime boss who they believe is responsible.