Roger’s health begins to rapidly decline. It is revealed that his species must express malice or toxicity to survive; "being nice" is literally fatal to him.
A flashback shows Roger recreating the adrenaline shot scene by sticking a syringe in Stan's chest. [S4E9] Frannie 911
To save his life, Roger is forced to cruelly insult Steve’s dancing, which immediately restores his health. The episode concludes with Francine accepting her role as an "enabler," though she allows Stan to physically punish Roger when he goes too far. Subplot (B-Story) Roger’s health begins to rapidly decline