With the FBI on high alert after the KGB presumably (they did) killed two FBI agents and a scientist, the tension got bumped up due to a jealous ex-boyfriend. Happenstance can be unfortunate, and in this case, it cost two men their lives.
Before I get into the heart of the episode, I have to mention Elizabeth and Philip's ridiculous decision to split up. After over a decade of living together as uncover KGB spies in an arranged marriage, they decided to take a break over one lie? They finally fell in love with each other and threw it away too quickly. Yes, Philip technically lied about sleeping with Irina, but he was on a mission. She had to go into the hospital showing signs of both a physical attack and sexual activity. If she didn't, the plan wouldn't have worked.
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Check out the preview for the next episode "Only You."