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Unable to slay a bad case of the flu, Buffy (Sarah Michelle Gellar) is admitted to the hospital. While sleeping, she has a dream about a tall dark creature with a young boy. The next day she discovers the same boy is a patient in the children's ward. He says the creature is Death and has killed many children. A more obvious culprit is the unorthodox Dr. Backer, but Buffy finds him dead. Meanwhile, Giles (Anthony Stewart Head) suspects that Jenny's (Robia La Morte) death might be causing Buffy to fabricate a creature to fight, but he soon uncovers the creature's identity as Der Kindestod, or "child death." Buffy reinfects herself with her fever to battle the monster because he can only be seen by those in the feverish state. It is also revealed that Buffy first encountered Der Kindestod as an eight-year-old when her cousin died in a hospital.