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The BAU is called in when a man is found in a hotel room bathtub with his kidney removed and Graham must determine whether this is the act of an organ harvester or if the Chesapeake Ripper has claimed his first victim in two years. Meanwhile, Crawford continues to be haunted by the discovery of Miriam Lass's arm. Dr. Bloom suspects that Crawford has become obsessed with catching the Ripper, and is putting Graham in danger by making him chase the Ripper.