Rick and Carol set out on a supply run, leading to a series of events that challenge their relationship and their moral compasses. Carol's decision to k*ll two sick survivors to prevent the spread of the virus shocks Rick and the audience, highlighting the lengths people will go to survive. The episode ends with Rick banishing Carol from the group, further fracturing their already fragile community. The episode also explores themes of guilt and redemption, as both Rick and Carol grapple with the consequences of their actions.
The title of the episode refers to how Carol's indifference towards survivors dying and the general situation they are all in, as seen when Ana is being eaten and later commented on how "It was a nice watch" when Sam failed to show up to accompany them to the prison, thus losing Rick's watch that he had on. The episode is seen as a transitional stage for the development of Carol, having become cold and making difficult decisions to survive, ultimately causing Rick to feel unsafe and thus, he exiles her. It also distinguishes the differences between Rick and Carol: Rick stepping down from leadership to take on farming and living a peaceful life, while Carol steps up to make the decisions others are afraid of making.