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Damon urges Stefan to go get the cure for Elena, uncaring that there is only enough for one because he wants it for the girl he loves. After Stefan leaves Rebekah comments that Damon did something selfless and remarks that he will always love Elena. An exhausted Damon admits that he cannot control everything and is tired.
After the agreement, Klaus starts feeding him human blood to make him a ripper again and when he is sure that Stefan will follow him, he gives Katherine the cure and compels her to take it to Damon letting her go. In the meantime, Elena finds Damon wandering and tries to help him but he bites her thinking that she is Katherine.
Damon, following the bar tender's hints, finds where Stefan is kept and encounters Tessa. Tessa explains to him why she needs Stefan and that she will not let Damon take him until she finishes what she needs to do. Tessa wants to link Stefan to Silas to weaken his mind power because that is the only way to face him and kill him.
Damon is with Elena and she takes the cure on the porch, telling him she loves him. As human, Alaric's compulsion is gone and she gains her memories back. Stefan then calls Damon to let him know that Lily is free and now would be a bad time to take the cure. As he's telling Damon this, Lily snaps his neck, leaving Elena shocked.
Katherine dunks Damon's head in the water and temporarily incapacitates him. Katherine distracts Rebekah by tossing the cure into the air and making a run for it. Damon, still weak from the vervain, tries to convince Rebekah not to take the cure, but Rebekah tells him to give her one good reason why he wants Elena to take it. Damon does not answer.
Damon heads to find Wes to ask him for the antidote of the ripper virus, but Wes refuses to help him, leading Damon to kill him. Meanwhile, Katherine takes Nadia to a church to keep her safe while waiting for Wes, but because Wes is taking a long time with the cure, Katherine leaves to find him. When she gets to his laboratory, she finds him dead.
Damon offers to give up his life instead, telling his brother he loves him and tells him to tell Elena he did it for her. He then compels Stefan to leave. However, Stefan is able to override the compulsion because he has vervain in his system and then hurries back into the tunnels, where he injects a syringe filled with his blood into Damon ...
Damon and Jeremy help Silas find the anchor of the other side. Qetsiyah reveals to Damon that the anchor is not an object, in fact it's Silas' lost love – Amara. Silas is able to free Amara but she attacks him and takes the cure. Damon and Jeremy decide to take Amara to use her as leverage against Silas.