Everyone is happy at Christmas time except for Duncan, the Scottish narrow gauge engine, who seems to be grumbling even more than usual. Victor offers Duncan a new coat of paint if he can refrain from grumbling for one whole day. Duncan rises to the challenge, but it is not so easy for an engine who likes to grumble to give up a lifetime habit.

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Ryan’s complicated relationship with Ben has her taking out her frustrations with a machete in the jungle. Lily, Ben and Charlie go to San Miguel to get medications needed to treat a patient with a serious staph infection. Lily discovers that Ben's wife is still alive in a hospital in San Miguel. Back in the village, she meets a guy named Mateo who pays her tab at a bar. He has just returned to the village after attending University. Tommy treats a man with a "private" problem, and in the process falls for the man's beautiful girlfriend Alma. Cole is horrified to find out that Zee signed him up to have his impacted tooth removed. The doctors are surprised to learn that one of the kindest patients they are treating is a former Nazi who hid away for 60 years. Zee uses Ryan’s machete when she learns that Otis thinks of them only as "friends with benefits". Cole breaks down at the last minute and has the traveling dentist remove his painful tooth but refuses any drugs, even after warned it will be a painful oral surgery. Mina holds Cole's hand as he "white knuckle's it" through the procedure.

When Thomas and Diesel are sent to collect trucks from Ffarquhar Quarry, they argue about who should be the back engine. Then Diesel suggests he take the trucks with Mavis and leave Thomas to look after the quarry until they get back. But when they do not come back, Thomas gets fed up and decides to take another load of trucks on his own and then there is real trouble!
Oliver is always telling his brake van Toad about his adventures and Toad longs to have an adventure of his own. So when the chance comes to work with James, Toad is very excited. But James does not like pulling trucks and goes too fast. Then a coupling snaps and Toad gets a much bigger adventure than he bargained for!
Toby is always nervous when he has to go through Knapford Junction with the big signal gantries over the track. One day Toby waits nervously for his signal to change, but it stays on red. He waits and waits, holding up other engines, but the signal does not change. The Fat Controller is very cross until everybody finally realises the signal is broken.

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Gator returns to the Island of Sodor after being away for a long time. He is looking forward to seeing his old friend Percy. When Percy hears that Gator is back, he is very excited and immediately heads off to see him. But the two engines keep missing each other. They both have doubts they will see each other, but finally they connect and have a wonderful reunion.
Emily gets overly excited whilst taking a special to the Animal Park and loses a giant model of the world.

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It is high summer, when many tourists visit Sodor and The Fat Controller is concerned about getting them all to their destinations on time. Duck tells the other engines about the slip coaches they used on the Great Western Railway that can be uncoupled at stations without stopping. James then tells the Fat Controller and claims it as his idea. But James has never used slip coaches before and soon runs into trouble!
Bill and Ben run out of coal during a shortage at Clay Pits and have to rely on Timothy, who runs on oil, to help them out.

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Spencer brings a VIP back from the mainland, but is so intent on doing a good job that he does not notice that he has been sent down the wrong track. By the time he arrives, they are so late that the passenger refuses to travel back with him and the other engines all compete for the privilege.

After getting clobbered in a beach soccer game by some local kids, the jungle docs have to hit the high seas on a rescue mission. A man and his 17-year-old daughter were caught in an underwater rockslide. The father makes it up but his daughter is trapped underwater. Ben and Ryan get into scuba gear and dive down to treat their patient. Lily gets a surprise visit from Mateo, the handsome man who bought her drinks in San Miguel and learns more about him. An ex-flame of Zee's returns to the clinic not only for treatment, but for her heart as well, and she begins to question her relationship with Cole. Ryan has had shortness of breath all day. Tommy gets closer with Alma, who just broke up with her boyfriend. He puts a letter in the mailbox to finally let his parents know that he’s fine and somewhere in South America. After having a few moments, Mina decides to open up to Cole.

When Scruff breaks down, Samson is sent to help Harvey collect scrap from the lineside, but Samson takes his instructions a little too literally.
A delivery of pipes is being unloaded at Brendam Docks. But when Thomas starts to hear spooky noises, Salty spins him a yarn and has both Thomas and Henry convinced that it is the sound of the 'Flatbeds of Fear'. Emily insists that there must be a sensible explanation, until she hears the sound herself and gets frightened.

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It is a slow day for Gator when he finds himself sitting around with nothing to do. However when Oliver breaks down, Gator is more than happy to help. He collects Oliver's trucks and promises him he will bring them back in the morning. There is another problem when Gator's lamp keeps going out. He knows he will be late so he decides not to stop. Toad however argues that it is not safe. Toad has a light bulb moment, and he comes up with an idea that will help deliver the trucks safely and on time.

Lily and Otis are off to help three brothers who get trapped in a mine after digging for gold. During the rescue, Otis is seriously injured. Zee has Mina oversee an ancient birth ritual, and during the ritual, she unwittingly becomes the child's godmother. Then at the party she and Tommy have a drunken night together. After the accident Otis confesses his true feelings for Zee while she checks up on him.

The Creek which passes through its entirety. Originally, Big Red and Little Red Creeks were believed to be named from the waters color, which was tainted from passing over iron ore that richly runs throughout the water bed. Both major and lesser creeks were originally fed from Mud Creek, which was later transformed into the Erie Canal.

The clinic is left without any medication after a robbery, and the doctors are finding it hard to treat the patients. Ben, Zee and Lily try to treat a patient with a ruptured appendix, but the robbery left them without enough anesthetics to perform the surgery. Cole must face his old demons as he and Mina go to see his old dealer on getting some drugs to use as pain relief, much to the dismay of the other doctors. As Ben preps for surgery, Cole and Mina paddle down the river to the secret drug lab. A little girl with a complicated bug bite brings up old memories for Ryan as she tries to treat her. Tommy meets a few vacationing college kids who are members of his old frat and treats one of them who's hangover turns out to be a serious brain disease.

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Diesel gives Paxton a terrible fright when he makes him think that all the other diesels have disappeared. But when Diesel runs out of fuel, it is Paxton who takes him by surprise by giving him a taste of what friendship might be like.
Bill & Ben trick Timothy into going on an island-wide search for a multi-colored truck. But when the oil-burning engine realizes he's been duped, Salty helps him find a clever way of making the twin's trickery come back to bite them.
Thomas likes to tease Annie and Clarabel whenever they complain about going too fast. But when the two coaches find themselves coupled behind Caitlin by mistake, they get a taste of what going fast is really like and poor Thomas gets frightened that they might be taken to the mainland forever.
It's Christmas Eve and a lot of passengers are coming home to Sodor for the holiday. Connor can't carry all the passengers who are trying to get on his train. He promises to come back and pick them up, but the snow keeps falling and the engines are struggling to keep the tracks clear. It becomes a race against time, and the engines have to work together to clear the tracks and get the passengers home in time for Christmas.

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Duncan, the grumpiest engine on the narrow gauge railway, gets a taste of his own medicine when he receives a very grumpy passenger. He tries his hardest to help the passenger so that they will stop complaining, but soon learns that it is impossible to please everybody.

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When Millie is startled by the head of a model dinosaur, Samson makes fun of her and the French narrow gauge engine is determined to get her own back.

A duo of wildlife photographers find themselves in trouble when one of them is caught by a green anaconda. Tommy finds himself learning a cultural lesson from the local populace while finally managing to forge a small connection with Otis. Mina finds herself challenged when she is forced to work with Ryan, she begins to question her abilities as a doctor. Lily learns that she needs to let go of her procedural way of thinking now that she's left the ER. Ben has to face some very real feelings when faced with them by Ryan. Otis and Zee heat up despite her initial reluctance.

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Ryan's health worsens and she asks Mina to treat her while most of the team is out helping two injured parachutists. She then appoints Mina as her primary care physician, much to the dismay of Ben. Tommy meets Charlie's mother and tries to diagnoses exactly what is wrong with her after she shows strange symptoms and characteristics. Lily tries to get to know Mateo's family but is still uncomfortable with the coca. Tommy becomes jealous of Mina's new relationship.

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Percy misses his friend Gator and ends up rushing around as he tries to keep his mind occupied. He is so busy that he loses control of some trucks, which roll into an old mine. At first, Percy is afraid to go after them, but then he remembers what Gator taught him about being brave.

Location in Wayne County and the state of New York.

After a water taxi accident, Ben, Tommy and Lily go to treat the survivors. After finding out that one passenger is still missing, Lily goes to find him, which leads her to make a gutwrenching decision. Meanwhile Tommy and Ben tend to a serioulsy injured passenger and disagree over diagnosis. Cole and Zee try to help newly adoptive parents with a very sick baby. Ryan and Mina must treat a very rude and obnoxious patient. Things between Tommy and Mina get awkward after their drunken one night stand.

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An old friend of Ben's visits the clinic and brings two patients to do a transplant. But Lily finds out that there is something suspicious about the patients and the procedure might put the clinic in jeopardy. Zee and Otis treat a patient whose daughter is his caretaker and wonder if she is abusing him. Also Zee wonders if she should give Otis another chance. Tommy becomes jealous after a patient expresses interest in Mina and realizes he has feelings for her. Mateo's mother plays matchmaker and tries to get Lily and Mateo back together.

* 4× NBA champion
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The whole island is celebrating Christmas and there are decorations everywhere. But it doesn't look very Christmassy at the scrap yard. Percy starts to worry that Reg is missing out and he tries to find something to give Reg to cheer him up. But Reg only seems happy about scrap. Percy discovers that Reg is celebrating Christmas in his own way and has been making decorations from the scrap‏.

Ryan and Ben come back from New York and leaves with Mina, Tommy and Otis to treat a breakout of Hepatitis in the local prison while Zee and Lily stay back at the clinic. Otis tries to help a prisoner who is also an old friend and finds out that the Hepatitis outbreak has spread over to the women's prison. Meanwhile, Lily treats a woman whom she finds out is Mateo's mother. Ben worries if Ryan is returning to work too soon. Tommy tries to fix things between him and Mina after the awkwardness between them continues.

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When Duck gets stuck on some flooded track, James is sent to fetch Rocky to rescue him. But James does not wait for Rocky to secure his crane arm and they end up knocking down a signal before they arrive at the accident site! Without a signal to warn them, the other engines do not stop, and what began as a small accident soon escalates into a much bigger one involving several engines!
Marion thinks she saw dinosaurs in the middle of the night, but passes it off as a dream. She then gets a real shock when they seem to be real.
Thomas is on his branch line when a passenger pulls the emergency cable and he has to stop quickly. But it turns out not to be an emergency at all, but a bird watcher who has spotted a rare bird. To make matters worse, Annie has a wheel flat after being dragged along with her brakes on. So the next time Thomas sees the bird watcher he refuses to stop to collect him, but he soon learns that that is not the right thing to do.
Marion uncovers what she thinks is the mast of a Viking ship while doing some repairs on an embankment. Thomas suspects that she may have hit a water pipe, but Marion is not so sure. The following day, when Thomas notices flooding near the bank, she has to reassess her opinion.

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While Ben, Zee and Lily try to deliver a baby from the woman they rescued from the forest, Tommy and Ryan are fighting for the life of the father and her husband in the jungle. Meanwhile Mina and Cole treat a patient who has been electrocuted after stepping in a puddle, which resulted in a power outage all over the village, complicating the Caeserean surgery Ben and Brenner are trying to perform to deliver the baby. Lily discovers that Ben's wife and child died a few years ago, and that her current patients have stirred up old wounds for him. The man Tommy and Ryan were treating dies, but Tommy and Ryan keep his heart beating so his wife and child can get much needed blood transfusions from him.

After losing his way on his first day, new engine Samson has become a laughing stock amongst the engines. The strong little tank engine is determined to get through his day without making any mistakes, but has no such luck.

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A rescue chopper has crashed somewhere deep in the jungle. The clinic team heads out to help, but Lily is nowhere to be found. In the aftermath of the helicopter crash, Ryan looks for the missing girl with the bug bite, the patient with the ruptured appendix's wife suffers some injuries and Mina races to save her life when they become complicated and Ben, Tommy and Cole try to treat the pilot who is seriously wounded. Cole's old past continues to haunt him and start to hinder his work at the clinic, and he contemplates ruining his sobriety. Tommy’s a little tired of Charlie hanging around him 24/7. Lily discovers a secret about Mateo and his family.