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Addison and Sam continue their relationship, and eventually hit a rough patch when Addison decides that she wants a baby, and Sam doesn't want one because he already has Maya and Olivia.Addison's life gets complicated when she is forced to sit by her mother's wife's side and watch her die, because of the DNR, and is faced with the repercussions when her mother commits suicide.Charlotte is again faced with her attacker, when he comes into the hospital after getting stabbed, but eventually puts everything to peace when she forgives him; At Bizzy and Susan's wedding they find that they are finally able to have sex again.While things at their own wedding get interesting when their parents decided they shouldn't get married only for Cooper and Charlotte to get married in Vegas.
Cooper and Charlotte try to get their lives back together, including their sex lives, but are forced to put it on hold when Charlotte can't even be touched because of the assault.
Sam and Addison are still dating but are at different points in their lives.
Addison wants a child, but Sam has a child and a grandchild so he would rather just enjoy their time together and put off having kids indefinitely.
Addison also pushes Amelia to go visit Derek, eventually buying a plane ticket for her to go to Seattle.
Pete and Cooper go head to head when Pete's patient starts giving her autistic child her medically prescribed pot.
Cooper and Charlotte are forced to deal with the aftermaths of Charlotte's rape, but Cooper doesn't know about the rape until long after it has happened.