A string of family murders takes place and Will determines they were conducted by each of the families' missing children, who were abducted and brainwashed into killing their old families for their sinister "new family." Against Alana's recommendation, Hannibal checks Abigail out of the hospital for some frightening psychiatric practices that ultimately align her loyalty with him.
Will Graham and the BAU team track a serial killer whose bloody ritual includes cutting the victims' back flesh and stretching it to look like angel wings. Returning to the field weighs heavily on Will's psyche and Hannibal tries to drive a wedge between Will and Jack. Meanwhile, Jack Crawford's wife Bella pulls away from him and begins seeing Hannibal as her therapist, in an effort to come to terms with the fact she is dying. Beverly tries to connect with Will on a more personal level.
Jack and Alana are contacted by a former colleague, Dr. Chilton, who believes he has The Chesapeake Ripper in custody, but then one of his patients commits a murder that matches The Ripper's profile. The team determines the Ripper was a surgeon and is still at large when Jack's former protege Miriam becomes the next victim. Jack copes with her loss and the prospect of losing his wife by opening-up to Hannibal.
When the BAU investigates a murder involving organ removal Jack believes that the Chesapeake Ripper may have resurfaced, but Will determines that the victim's murder is the result of illegal organ harvesting accident. Meanwhile, Will suffers from nightmares where he is Abigail's father, and Hannibal slowly starts to seduce Alana Bloom and begins to visit his own therapist, Dr. Bedelia Du Maurier.
The BAU investigates a murder in which the killer exposes the victim's vocal cords to literally play them like a cello. Meanwhile, Hannibal discovers that the killer, Tobias, murdered the victim as an attempt to gain Hannibal's attention but then makes an attempt to take Lecter's life. Will is driven to distraction by strange noises in his head and turns to Alana, in a romantic way, seeking peace and stability. Hannibal describes his relationship with Will to his therapist, Dr. Bedilia Du Maurier.
The BAU team hunts a serial killer who digs up his victims, creating a totem pole of their bodies as a macabre trophy. When Nick Boyle's body is found, Jack and Alana question Abigail about his death. The resurrection of Nick's body enlightens Will to some of Abigail's secrets and Hannibal convinces Will to keep some of his own. Attempting to assert independence, Abigail agrees to write a book with Freddy Lounds and in the process, reveals her biggest secret to Hannibal.
The BAU investigates a murder in which two victims' faces are similarly mutilated; given a "Glasgow Smile." For the first time, Will contaminates a crime scene thinking he committed the first murder and an MRI shows he suffers from Advanced Encephalitis. But Hannibal intimidates the attending physician, Dr. Sutcliffe, into telling Will he's okay. Meanwhile, the team doubts Will who says, while revisiting the crime scene alone, he saw a mysterious, "dead-looking" woman who may be involved. With his fears fed by Hannibal, Will returns to Dr. Sutcliffe for more mental health tests, when the doctor is murdered.
When Dr. Gideon escapes from police custody, he seeks to kill psychiatrists who have profiled him. Will and the BAU team try to track him down by following Freddie Lounds' blog before Gideon can get to Alana. Hannibal misleads the BAU team in order to put Will in the same room as Gideon, and Jack questions Dr. Chilton regarding Gideon's escape.
After Georgia Madchen dies in an explosion, Will asserts that the copy cat killer is still alive. The BAU team links Abigail to the Minnesota Shrike victims and plan to arrest her only to find Will has checked her out of the hospital. Will's hallucinations intensify, causing him to lose Abigail in Minnesota. Meanwhile, Hannibal's subtle manipulation convinces Jack that Will is capable of murder. Hannibal makes an astonishing admission to Abigail.
When Will returns from Minnesota without Abigail, Hannibal turns Will in and Jack and the BAU team find strong evidence of Will having killed not only Abigail but additional evidence points to all the murders of the Copy Cat Killer. Jack and Alana begin to accept that Will is indeed capable of murder. Will is arrested and in a desperate attempt to escape, breaks his own thumb to slip the handcuffs and frees himself. Will takes Hannibal back to Minnesota to clear his name and to prove Hannibal's guilt. But before he can, the situation takes another ugly and unexpected turn.
The case of the human soup becomes clearer when a victim that has escaped from the killer's clutches washes downstream after a deadly fall, leaving valuable evidence for the BAU team to uncover. Hannibal Lecter assists on the case, sniffing out clues of his own from of the victim's body. Meanwhile, Will Graham begins a plan of manipulation from within the asylum, set on proving his own innocence. Jack tries to deal with his guilt over not protecting Will and submits to mandated therapy after Alana Bloom's scathing report. Awaiting his upcoming trial, Will is surprised by an unexpected guest - Bedelia du Maurier - who gives him a much-needed boost to his psyche.
Will Graham's trial begins and he must watch as those closest to him are forced to take sides. Jack Crawford scathing report about his conduct with Will, is pulled in conflicting directions. He acknowledges that he may be partially to blame for pushing his star pupil over the edge. To add confusion to an already suspenseful trial, a court bailiff is killed in a Copycat-like manner and those closest to Will start to wonder if they were wrong about him. The outcome of the entire trial hangs in the balance as one last key victim is served up.
When one of the team's own is found in a grotesque tableau, Will volunteers to assist with the profile and informs Jack that it's the work of the Chesapeake Ripper and the Copycat Killer, the two are one and the same. Dr. Able Gideon is brought back to the asylum to help confirm Will's claims of the Ripper's true identity, but instead suggests to Will the idea of putting an end to the Ripper once and for all. Confined behind bars, Will enlists the help of Freddie Lounds to contact his murderous admirer through her website.
When a city councilman's body is found in a parking lot, intertwined with a tree, the artistry and missing organs suggest the work of the Chesapeake Ripper. Jack and the team race against time to catch the Ripper while he's still on his killing spree. When Will suggests the possibility that the Ripper is filling his pantry with the victims' organs, Jack crashes Hannibal Lecter's dinner party to collect evidence and test the meat for human DNA. Jack's growing suspicions drive Alana even closer to Hannibal, believing he is the victim of a witch hunt. Meanwhile, clues from the tree man help the BAU zero in on a location they believe the Ripper used.
When Jack Crawford’s star pupil Miriam Lass is found alive, she becomes the FBI’s best hope to identifying the Chesapeake Ripper, but her foggy memory complicates the search. Evidence found at the site of Miriam’s rescue exonerates Will Graham of any involvement in the Ripper and Copycat cases, and he is released from the asylum. Will warns Dr. Chilton that he could be in danger due to his intimate knowledge of the Ripper case, but when Chilton tries to confide in Jack that he shares Will’s fears about Hannibal, he is rebuffed — no evidence has been found against Hannibal, despite the FBI’s efforts. Meanwhile, Jack wastes no time in reinstating Will on the BAU team as they hunt for the Ripper.
When a young woman's body is discovered inside of a horse, Hannibal suggests to Jack that Will be brought in to help crack this peculiar case. Will has seemingly cast aside his suspicions of Hannibal, resuming their doctor-patient relationship, but Alana remains skeptical regarding Will's true intentions and worries that Hannibal may still be in danger. The FBI questions the man they suspect to be the killer in their case, but lack of evidence forces them to let him go. Will and Hannibal race to guard the safety of a witness they believe is in jeopardy, but it might be Will's own judgment that is in peril.
The FBI is called in to investigate the discovery of a truck driver's body, seemingly torn apart by two separate species of animal working in tandem, neither of which consumed their kill. After one of his therapy sessions, Will meets Hannibal's strange new patient, Margot Verger. Will and Margot compare notes on Hannibal and his unconventional advice. Continually encouraging his patients to revel in what they are, Hannibal aims to determine Will's true self by sending him a test, the results of which surprise even Hannibal.
The truth of Freddie Lounds’ disappearance is discovered by Jack and his team. Alana expresses her concern over Will’s mental state, but he confuses her fears by encouraging her to arm and protect herself. Mason Verger suspects that his sister, Margot, is plotting to usurp him by getting pregnant with an heir. Hannibal reveals to Will how much Abigail reminded him of his sister, making it even harder for Will to understand why she had to die.
In a therapy session, Will imagines how he would kill Hannibal, honestly sharing his visions, and oddly bolstering their co-dependency. Later, in a session with Mason Verger, Hannibal discusses Margot’s unfortunate “accident” and other veiled threats. Jack grows impatient with Will’s progress on catching Hannibal, and brings in a surprise witness from the past to help. And when Hannibal’s life is threatened, Will must decide whether to come to his aid, and give Hannibal the opportunity for revenge.
Hannibal prepares for his imminent departure with, he believes, Will. Will prepares for a departure of another sort, tying up loose ends, not sure if he’ll survive the trap he’s set for Hannibal. Both men feel that Jack deserves the truth, but what is that truth? Loyalties will be tested and forgiveness will be asked… and the inevitable battle between Hannibal and Jack is upon them.
After surviving a disfiguring gunshot, Dr. Fredrick Chilton is now focused on rallying support to capture Hannibal, using Will as bait. Jack is distracted by Bella's failing health, but he implores Will to abandon the risky idea of finding Hannibal. Meanwhile, Alana Bloom entertains a different approach, potentially partnering with Mason Verger to utilize his vast resources.
Jack Crawford and Inspector Pazzi search for clues that will lead them closer to Hannibal Lecter's location in Florence, but the promise of riches offered by Mason Verger threatens to corrupt Pazzi's quest for redemption. Meanwhile, Will Graham and Chiyoh travel to Florence, both on a mission to find Hannibal, but at odds over the desired outcome. Elsewhere, as Alana Bloom continues to work with Mason Verger she grows concerned for the safety of all involved.
Sensing their time in Florence is coming to an end, Bedelia Du Maurier and Hannibal consider their parting as Hannibal plans for his final stand. Meanwhile, Will Graham and Jack Crawford reunite, but Jack remains uncertain about Will's true loyalty. Back in the States, Mason Verger hungrily makes plans for Hannibal's capture, while Alana Bloom and Margot Verger makes plans of their own for Mason.
Captured in Italy by police on Mason Verger's payroll, Will Graham and Hannibal Lecter are delivered to Muskrat Farm to await Mason's revenge. Alana, distressed that Will has been endangered along with Hannibal, plots a rescue. And Hannibal, once again in contact with his old patient Margot, finds it irresistible to remind her that Mason will never make good on his promises. Meanwhile, Jack informs Chiyoh of Hannibal's location.
Dr. Hannibal Lecter has been under lock and key for three years at the Baltimore State Hospital for the Criminally Insane, when a new villain arises in Francis Dolarhyde, also known as "The Tooth Fairy." As the investigation unfolds Jack Crawford approaches Will Graham to help catch this vicious serial killer who is targeting families.
The FBI's search for elusive serial killer Francis Dolarhyde intensifies as Will Graham begins envisioning himself in Dolarhyde's tormented psyche. Wading deeper into dangerous territory, Will enlists the help of Hannibal Lecter to assist with the killer's profile. Meanwhile, Alana Bloom reminds Will that the last time that he and Hannibal worked together things didn't end well, but Will sees no other option. Elsewhere, a new woman comes into Dolarhyde's life.
Carvings symbolizing the Great Red Dragon, retrieved from crime scenes, help Will Graham and the FBI shed light on Francis Dolarhyde's disturbing psychology. Meanwhile, Dolarhyde finds ways to communicate directly with Hannibal Lecter regarding his "becoming." Will feels his bond with Hannibal growing uncomfortably stronger, and seeks out Bedelia Du Maurier, the only other person who fully understands the complexities of such a relationship.
Will Graham and Jack Crawford are certain that Francis Dolarhyde will strike again with the approaching full moon, but without a solid lead, they remain unable to predict the next family on the Red Dragon's hit list. Certain that Hannibal Lecter can lead the FBI to Dolarhyde, Alana Bloom offers Hannibal a chance at redemption. Meanwhile, Dolarhyde struggles with his feelings about the one good thing that remains in his life-his coworker Reba.
Will Graham and the FBI enlist the expertise of Dr. Fredrick Chilton in the hopes of luring Francis Dolarhyde into an ambush, using Freddie Lounds as their mouthpiece. As Will's empathy for Dolarhyde begins to affect his fragile psyche, Bedelia Du Maurier warns that the killer Will should be most concerned about at the moment is himself. Meanwhile, Dolarhyde senses that the FBI is closing in and launches a horrifying endgame.
In a desperate bid to slay Francis Dolarhyde, Will Graham engineers a cunning ploy utilizing Hannibal Lecter. Upon learning of his plan, Bedelia Du Maurier voices concerns that Will's actions may not only put his life in peril, but the lives of those around him. As the end draws near, Will remains unflinching in his game with Hannibal — even when it means coming face-to-face with his own darkest fears.