Nurse Foreman is revealed as the wraith when Dean and Martin witness her feeding on a female patient, doing so through a retractive spike that slides through her right hand. After fighting Dean and Martin, she sets her villainous sights on Sam, while relishing feasting on his brain because of the mental damage inside. All the while, the villainous nurse also revealed that she caused the brothers' hallucinations with one touch, with Dean's illusion coming in the form of Dr. Erica Cartwright, an evil psychiatrist.
Dean catches Nurse Foreman in the nick of time and fights with her, but she unleashes her spike to use on Dean. At that moment, however, Dean breaks the spike, causing Nurse Foreman to scream in pain. She charges at Dean, only for Dean to kill the villainess with a silver scalpel.
- Lara Gilchrist also played psychotic Gabby Paige in Lifetime's The Last Trimester.