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Tony, the Capo in a Jersey mafia, begins seeing a therapist, Dr. Melfi after suffering from panic attacks.
The boys are partnered with Tweek to write a current events papers and he suggests they write about "Underpants Gnomes." Meanwhile, Tweek's parents' coffee shop is being threatened by a big corporate shop.
Red gives Eric 40 bucks to get a Christmas tree, so he and the guys cut a tree off the side of the road and keep the money.
Stan runs away to visit Cartman's relatives in Nebraska; Cartman and his Uncle break Charles Manson free from prison and discover the real meaning of X-Mas.
Eric gets a new friend, and Hyde and Kelso can't stand him. However, soon Eric's new friend puts a move on him, thinking he's also gay.
Red's mother comes to spend a Sunday with the family and drives everyone nuts except for Fez, who she seems to like.
Laurie comes home for Thanksgiving with her friend, Kate. Eric is initially annoyed he has to give up his room, until he sees how hot Kate is.
Eric and Donna go to the drive-in. Fez's house parents thinks his KISS album is devil music. Red and Kitty go out for the evening and nearly get arrested.
The kids decide to go to a disco, so Steve has Mrs. Forman teach him how to dance. Kelso gets jealous when he thinks Fez is going for Jackie.
An evil version of each of the boys (and a good version of Cartman) come from a parallel universe.