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The Ice Truck Killer escalates his killing spree, leaving body parts of his latest victim at sites connected to Dexter's childhood, which leads Dexter to confront his dark personal history. As Halloween approaches, Rita kidnaps a barking dog from a cynical owner because it keeps her children up at night, and gives it to a loving family.
Dexter rushes to find Debra, discovering that her boyfriend Rudy is the Ice Truck Killer. Since the killer had always sent secret messages to Dexter, he searched his apartment for clues that Rudy could have left, finding a picture of the shipping container where his mother was killed.
Brian (Christian Camargo) became the Ice Truck Killer and even stalked Dexter during his murder sprees. ‘Dexter’ Cast: Where Are They Now? Dexter's Complicated Family History.
He told Dexter it was a lab accident, but in reality he received the cut while attacking and nearly killing Angel Batista. This led Dexter to the realization that Brian was the Ice Truck Killer. Brian immediately kidnapped Debra, which led to the police suspecting his involvement in the Ice Truck Killer case.
In the episode, the police finds a key suspect as the Ice Truck Killer, while Dexter faces Rita's abusive ex-husband. According to Nielsen Media Research , the episode was seen by an estimated 0.61 million household viewers and gained a 0.3 ratings share among adults aged 18–49.
Dexter theorizes that the killer murders his victims in extreme cold, explaining the absence of blood, and might be using a stolen refrigerated truck. Dexter allows Debra to pitch the theory, but their superior officer, Lt. María LaGuerta ( Lauren Vélez ), dismisses it.
Unaware to Masuka, Ryan has taken a prosthetic hand from a victim of the Ice Truck Killer. Dexter breaks into Kenney's storage unit and discovers human teeth, concluding he is The Tooth Fairy. He is called by Kenney for help, but he is held at gunpoint by Kenney in his car, who discovered Dexter worked at the police.
Matthews (Geoff Pierson) commemorates the arrest of the Ice Truck Killer, but LaGuerta (Lauren Vélez) is still not convinced that Perry is the killer. Dexter finds that the three women were patients of a therapist, Dr. Emmett Meridian (Tony Goldwyn). Dexter checks in as a patient, using the opportunity to check his notes.