Cuddy orders House to make a final decision on which two candidates he's going to hire permanently. She says that if he doesn't make a decision, she'll reduce his salary to pay the two too many of them, but he appeared to not care, so she tells him she'll also move his parking space far away to the E lot, and it works. House visits Cameron in the emergency room to try to find a new case to help him make his decision and finds an uncooperative punk rock musician with a multitude of health problems. Although most of the candidates (particularly Amber) argue that the patient's woes are due to his high-risk lifestyle and drug abuse, House orders them to look into his symptoms, while scoring each doctor on a points basis in order to decide whom to include on his team.
A few months previously, Wilson had told one of his patients that the patient was going to die. However, he later finds a flaw in his diagnosis and that the patient is fine. When he tells the patient, instead of being happy, the patient complains that he was planning to sell his house and now that he's going to live, he'll have to cancel the sale and won't be able to afford to pay the real estate broker. Wilson tries to compensate the patient from his own checkbook but the man decides to sue Wilson for even more money because his potential death let him live in the present, which brought him happiness. Wilson correctly deduces that House is the one who counseled the patient to sue Wilson.
House tells Cuddy that he wants to keep all four of his candidates but Cuddy insists that he can only keep two. While she's leaving, House asks her advice on whom he should keep. At one point, he brings all four candidates into her office to highlight their strengths; although all their theories are wrong, each contributed to the correct diagnosis that the patient has measles, which he contracted while hanging around children to entertain them. Cuddy, however, still will not budge from her position.
House calls the team into the lecture room for a final time and tells Amber to stand up. Amber asks House if it's bad that he called her by her real name for once instead of "Bitch" (for "Cutthroat Bitch", her nickname). House tells her that while she plays the game better than anyone, she can't handle losing or being wrong. House goes on to say that if she is going to work for him, she has to be able to deal with and accept both these things and fires her as a result. As Amber sits at her desk sobbing, House tells Thirteen to rise. He fires her as well but notes that were he allowed to keep three team members, she would have been hired.
Cuddy later approaches House in the lecture hall, telling him he can't have an all-male team and orders him to hire Thirteen along with the two male candidates. As Cuddy walks away from House, his face turns into a mischievous grin. Cuddy then realizes that he kept Taub and Kutner because he knew that if he did, Cuddy would tell him to hire Thirteen so as not to have an all male team. Cuddy agrees to the hiring of all three and says that with the final team hired, at least all the games are over; House continues smiling and asks her: "How long have you known me?"