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Sean begins to take on the Carver victims, undoing his works and this makes him the Carver's next victim.
He is warned that if he is to help another Carver victim, the Carver will kill him, which Sean does.
After locking their camper and releasing the accelerator she runs off but is murdered by a serial killer. Sean and Christian later bury another person who died on their operating table and this almost ends Mc Namara/Troy's partnership for good.
He is the biological father of Matt Mc Namara with whom he has a tempestuous relationship.
This hurts Liz, and she leaves Mc Namara/Troy, returning to Miami.
Although he believes he is getting better, it's revealed his cancer has become terminal and he only has six months left. At the end of the season, Christian is informed he is in remission, but after he has already married Liz.
Christian then tell Liz he wants a divorce, causing her to sue for half of his assets.
After a change of heart she drops the lawsuit, much to Christian's relief. Mike Hamoui causing Christian to want Kimber back in his life.
In the "Season 5 Part II" premiere, it is discovered that Christian has developed second stage breast cancer after revealing he had found a lump on his chest while accompanying Liz who had just had a mammogram.