Plot
Instead of going to his physical, Peter goes out with Brian, Quagmire, Cleveland, and Joe. When Lois finds out, she takes him to the doctor herself. The doctor pronounces him healthy...but fat. Peter takes this badly, even smashing a picture of Lois' family. Trying to salvage it, Lois discovers another child in the picture: a boy. She telephones her father Carter, who tells her she doesn't have a brother and quickly terminates the call, but she persists: she breaks into her parents' house. She finally learns that her brother Patrick has been shut away in a mental hospital for decades, ever since he suffered a nervous breakdown as a young child, upon walking in on his mother having an affair with Jackie Gleason--an incident that may or may not have been an hallucination.
Meanwhile, Peter announces to the family that he is fat and decides to create the "National Association for The Advancement of Fat People" (NAAFP). Peter hosts the first meeting of the association, but it is unsuccessful due to those attending munching junk food the entire way through.
Believing Patrick to be sane, Lois authorizes his release, and arranges for Patrick to stay with the family. Patrick soon announces he has a wife, Marion, albeit she is imaginary and nobody else other than him can see her. This leads Brian and Stewie to believe he is crazy. Lois attempts to overlook the evidence, and instead tries to persuade Peter not to encourage people to be fat. Peter unintentionally traumatizes Patrick later by dressing up like Ralph Kramden and repeatedly using one of Kramden's catchphrases "Pow, right in the kisser!" which brings back memories of Gleason telling him to get out. This triggers Patrick to start killing fat people.
Lois' father, Carter, calls her and tells her how dangerous Patrick is, but she assures him Patrick is safe, although she becomes worried after seeing on the news that a fat man has been murdered. Lois remains in denial as more murders are committed, even though Brian tries to convince her that Patrick is the killer.
Peter brings the fat men back to his home to protect them, but after learning from Brian that Patrick is the killer, a chase between the fat men and Patrick ensues. Brian, still at the house, shows Patrick's room to Lois, where several of his victims are either deceased or had been left for dead, and photographic evidence of Patrick killing them. Lois continues to make crazy excuses, still wanting to believe her brother is a sane person, but ultimately she snaps out of her denial and realizes that Patrick is dangerous. Lois and Brian pursue Patrick and Peter into the woods, where Patrick is strangling Peter. Patrick quickly releases Peter after Lois threatens to stab Marion, his imaginary wife. Patrick apologizes, telling Lois that he never meant to hurt her, and the two agree he should be sent back to the mental hospital, where Lois and the family plan to visit him once a month.
Read more about this topic: The Fat Guy Strangler
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—John Dryden (16311700)