WARNING: If you don't want to know what happened in this episode, don't read this photo recap!
In 1906, a carriage arrives carrying a man and woman to the Renfield House for Incurables. Everything is appropriate levels of creepy gothic. The man says he is here to commit his wife. His wife bids him farewell and asks him to give a familiar looking necklace to their daughter if she doesn't make it back. The staff asks her name. She tells them it's "Van Helsing. Lillian Van Helsing." We silently oooh and aaaah.
Big surprise, Lily is a badass. She checked herself in in order to fight a vampire who has been hiding out in the asylum but before she can do that she has to break out of her room and beat up a lascivious guard, which she does easily. Then it's off to the basement where she unfortunately meets her match.
More than a century later, Lily's great-something-granddaughters are wandering around in the woods near that same asylum. Yes, they're lost, but they've found a cabin and the guy inside will take them where they need to go for the low low price of a Kit-Kat bar. Those are handy.
Pro tip for the apocalypse. Don't help people. There's a halfway decent chance one of them is a Vampire Elder in disguise and it's just gonna kill you when you get to your destination. You won't even get to enjoy your candy bar.
Inside the asylum, Scarlett forces the Elder to stay behind just in case it wants to eat anyone else they find. Naturally, though, the only people they find are a room full of dead people. Oh wait, not dead people, vampires. Oh, not just vampires? They're crazy psychic vampires? Oh, good.
As is their way, Scarlett and Vanessa just start killing the crap out of all the crazy psychic vampires until Scarlett gets pinned down by the de facto leader and decides to take a page out of her sister's book and bite the dude. You know what comes next. Blood vomit, confusion, dude is human again and more than happy to help them dig up records of their relative who was once a patient in this hospital.
He tells them that Lily died under mysterious circumstances and has been interred in the potter's field on the property. He and Axel head off to find some shovels while Vanessa and Scarlett stay behind to stab the dirt and have a heart to heart.
Axel and the good Doctor make their way into the house, but Axel quickly discovers that this isn't one of the nice former vampires. Of course, he discovers this when he is knocked unconscious, tied to a chair, and made one of Kevorkian's next experiments. High voltage electricity and the human skull are not good friends.
Back at the grave, Scarlett wants to know why the hell Vanessa has been acting weird and distant since they all met up again and Vanessa finally tells her sister that the Elder bit her and she's different now. She craves blood and she fears she's more vampire than human. She all but tells Scarlett that she might need to kill her sometime in the near future. Scarlett's not really having it but they're interrupted when ...
Their ground stabbing actually manages to produce results. They’ve found an old degraded coffin in the soil. Jackpot! They peel away the rotted wood only to discover that it is not, in fact, their ancestor, but a dude. Obviously something is wrong, but they decide to stay put and wait for the guys to get back.
In the meantime, Axel has managed to free himself just enough to get confident. He gets the doc talking enough to tell him that Lily, because she had money, wasn't buried outside. She's in the mausoleum under the building. Info gathered, Axel wastes no time wasting the doc, squashing his skull for good measure.
Finally on the right track they head down to the mausoleum to find Lily, but first, they find the vampire that killed her. He's appropriately gross looking and way more dangerous than the vamps upstairs. Vanessa sends Scarlett and Axel to safety and she and the Elder take on the big head vampire.
Turns out a Van Helsing and an Elder were all that was needed to take this guy out. With him dead, they finally locate Lily's body, still nearly pristine, and with her two very important trinkets: the Elder's totem (a silver bracelet) and a large dagger.
That dagger, as the Elder tells Vanessa, is tainted with Elder blood, which means her ancestor probably tangled with someone named the Ba. Who is the Ba? Oh just some uber Elder that Vanessa is going to have to face down the line.