
S4 · E1
Alone
What Happened Last Episode
• After losing his entire diagnostic team, House embarks on an elaborate, competition-style process to hire new fellows — pitting dozens of applicants against each other across multiple cases before ultimately selecting his new team members.
• Foreman, having left House's team, attempts to forge his own path at another hospital but finds himself slipping into House-like behavior. He eventually returns to Princeton-Plainsboro and is placed in a supervisory role over the fellowship candidates.
• The new team — including Thirteen, Kutner, Taub, and Amber ("Cutthroat Bitch") — is finalized after a season-long gauntlet of challenging cases, from a personality-mirroring patient to a CIA mystery case to a drug-using former punk rocker.
• Wilson begins a new romantic relationship with Amber, House's former fellowship candidate, creating a contentious love triangle of sorts as House and Amber compete for Wilson's time and attention.
• House's unorthodox methods remain on full display throughout the season, including diagnosing a researcher stranded at the South Pole remotely and kidnapping a soap opera actor he's convinced is seriously ill after spotting symptoms on TV.
• The season builds to a devastating two-part finale: a bus crash leaves House with serious head trauma and amnesia, and he becomes consumed with identifying a fellow passenger who has a life-threatening condition — a mystery with deeply personal consequences for House and Wilson.
• Wilson's growing concern for House's deteriorating health in the aftermath of the accident sets the stage for an emotional turning point in their friendship heading into the next season.
Key Characters

Gregory House
Works alone after disbanding his team, diagnosing a building collapse survivor without fellows.

James Wilson
Lives with House and pressures him to hire a new diagnostic team.

Lisa Cuddy
Demands House recruit a new team as he struggles to diagnose patients solo.

Eric Foreman
Has left House's team and is no longer part of the diagnostics department.

Robert Chase
Fired by House at the end of last season, no longer on the team.

Allison Cameron
Departed House's team after Chase's firing, no longer working in diagnostics.