In a shocking turn of events on The Boys Season 4, Episode 6, Butcher's inner demons take center stage as he is haunted by hallucinations of an angel and devil on his shoulder. It is revealed that his CIA officer friend Joe Kessler is not real but a product of a brain tumor caused by the V Butcher consumed. As Butcher grapples with his humanity, Kessler manipulates him into making dark decisions, revealing a sinister side to Butcher's character. The twist, known to the actors from the start, adds depth to Butcher's struggle between his human and monstrous sides. Despite efforts to maintain the surprise, some fans had already guessed the truth about Kessler. With exceptional performances from Karl Urban and Jeffrey Dean Morgan, this episode delivers a riveting and unexpected twist that leaves viewers questioning Butcher's fate.