After Monk's insurance company refuses to pay for more private therapy sessions, he joins Dr. Bell's therapy group, where it appears that someone is murdering fellow patients. Tim Bagley and Hector Elizondo guest star.
A voodoo curse seems to be at work when dolls sent to San Francisco residents accurately predict inexplicable deaths, including possibly Natalie's. Meat Loaf guest stars.
Natalie tries to arrange a surprise birthday party for Monk while he probes the mysterious death of an office building's maintenance man.