After the Winchesters were in accident caused by one of The Yellowed Eyed demon Azazel's demonic minions. Afterwards they were taken to the hospital. While Sam and John Winchester managed to quickly recover, Dean was in a coma, causing him to have an out of body experience. During that experience, Tessa was the reaper that came for Dean's soul. At first she came in her reaper form, which frightened Dean. Because of this, She transforms into a human girl in order to talk to Dean. She pretends to be another patient that's also in a coma. Dean soons figures out who she is and she tries to persuade him to just let his go and come with her into the afterlife. Meanwhile, John summons Azazel and makes to deal with him which is his soul and the Colt (a gun that kills supernatural beings)for heal