This episode features the apparent death of Troy Otto (Daniel Sharman) as he's killed by Madison Clark (Kim Dickens).
The patient is John, the President of the Proctors, an outlaw motorcycle gang which is opening a trade route from the Texas gulf coast to San Diego.
In a joint review along with the season finale episode, "Sleigh Ride", Matt Fowler of IGN gave "Things Bad Begun" an 8/10 rating, stating; "Some of the interpersonal moments didn't quite feel right in Fear the Walking Dead's Season 3 close-out, but using the dam as the centerpiece for the endgame, while also introducing a new villain into the mix, made for an exciting finale - even if Madison's haunting dreams were the only thing that resonated emotionally.
"[1] Conversely, David S.E Zapanta of Den of Geek gave "Things Bad Begun" a more negative review, with a 2.5/5 rating, stating; "As dynamic and engaging as Ray McKinnon is, he and his underdeveloped proctors felt shoehorned into the end of the season.
"[2] "Things Bad Begun" was seen by 2.23 million viewers in the United States on its original air date, the same amount of ratings as the previous episodes.