Dr. John Thackery ascends the ranks of the hospital and is pressured to have a black member of staff on his team. When a patient develops complications, nurse Lucy Elkins finds Thackery at home, suffering from cocaine withdrawal. She injects him & he returns to operate.
Since the hospital does not treat black people, Edwards creates a makeshift clinic in the hospital's basement to treat those turned away. Barrow is pocketing hospital funds to try and pay on a loan to a mobster. Thackery, meanwhile, demands cadavers for experiments.
A former lover of Thackery's asks him to operate on her nose which has been ravaged by syphilis from her promiscuous husband. Edwards must leave in mid-surgery in the basement to pilfer the hospital for thread. Barrow settles his debt by selling a cadaver for $75.
Algernon forces Thackery's hand during surgery. Abigail, in recovery, regrets her past choices involving Thackery. Cleary and Sister Harriet strike one deal, then another. Bertie's father, Dr. Bertram Chickering, Sr., scolds his son for his career choices.
Barrow looks to pay down a debt by treating one of Collier's wounded men and tries to convince Capt. Robertson to purchase a new Edison invention. Marginalised by Thackery, Edwards attempts to improve on a hernia surgery. Everett and Eleanor fear for their baby's health
After testing a new procedure, Thackery and Bertie vow to reverse a series of failed surgeries. Euphoric after helping track down a typhoid carrier, Cornelia is less than enthusiastic about becoming Mrs. Phillip Showalter. Edwards finds his clinic and career in jeopardy
The stabbing of a cop by a black man stirs up racial tension on the street and in the Knick, forcing Thackery and Edwards to take action. Everett returns to work and a changed OR. Barrow fears for Junia's safety, while Cornelia is impressed with Edwards' ingenuity
Already on edge due to a city-wide run on cocaine, Thackery worries that Dr. Levi Zinberg will steal his spotlight at the next New York Surgical Society presentation. Cornelia, Speight and Bertie go to court in an attempt to keep 'Typhoid' Mary Mallon quarantined.
A late-night crime sheds unfavourable light on the Knick, forcing Robertson to come up with hush money. Lucy goes to extremes to get drugs for an increasingly desperate Thackery. Cornelia and Edwards proffer different solutions to a shared dilemma.
Refusing to collaborate with Dr. Zinberg on blood-transfusion research, an increasingly paranoid Thackery pushes himself to the limit in an effort to "solve the riddle "and beat his rival. With the Knick in the midst of yet another crisis, Robertson calls for a vote.
As The Knick prepares to move uptown, Edwards lobbies the board to be appointed permanent head of surgery. Though his suspension has been lifted, Gallinger refuses to return as Edwards' subordinate and heads elsewhere in hopes of getting Thackery to return to work.
Thackery sets his sights on a return to The Knick - a request that doesn't sit well with the Board. After a shocking discovery, Cornelia gets Cleary to do a dirty job, for a price. Henry Robertson pushes a new subway initiative while Barrow drives up construction costs.
Thackery enlists Edwards to help him test a new hypothesis. After rejecting Henry Robertson's advances at The Knick, Lucy learns that confession isn't always good for the soul. We meet Genevieve Everidge, a young journalist writing a story about a rival doctor.
Abby's worsening condition persuades Thackery to test out his novel syphilis treatment. Algernon comes clean to Opal, but does not get the response he expects. Cleary makes a last-ditch effort to raise funds for Harriet as her date in court arrives.
A subway explosion leads to an influx of patients at The Knick, but little margin for profit. Pursued by Henry, Lucy takes to heart advice from one of Ping Wu's girls. An addict's misfortune gives Thackery an ideal test case for his latest theory on addiction.
Faced with a dilemma, Bertie takes matters into his own hands at Mt. Sinai, enlisting Algernon to help. Thackery investigates the efficacy of hypnosis and takes an interest in conjoined twins. Cornelia visits the brother of a deceased immigrant with ties to Speight.
Thackery readies himself to attempt to separate twins Zoya and Nika in front of a packed audience. Cornelia attends a gala charity ball for the new Knick with other familiar guests. Algernon gets a long-overdue spotlight in the surgical theatre but complications ensue.
Thackery introduces a new kind of cure to his inebriation ward and performs further plastic surgery on Abby. Brockhurst demands the return of his "girls". Cornelia presents evidence of the company's wrongdoing to Henry. Barrow's troubled marriage comes to a head.
Thackery's connection to Captain Robertson, and how he arrived at The Knick, is revealed. The conflict between Edwards and Gallinger comes to a head after a medical-board hearing regarding Gallinger's vasectomies. Cornelia and Henry weigh the cost of a family crisis.
Thackery eschews Zinberg's advice at Mt. Sinai and opts for a dramatic, and risky, alternative course of action. Cornelia confronts Henry about his role in the business. Barrow defends his actions at the hospital construction site. Cleary refuses to give up on Harriet.