Oh no! It looks like something has got Sam down. Is he hurt? Is it Death? Even Dean looks concerned. What the hell? Did Death attempt a death blow with that huge scythe? Didn't we already determine that wasn't an option?!
The Winchester brothers appear to be waiting for something... or someone. So what does Sam see? The photos they give us for Supernatural usually take place within a ten minute time frame of the episode, so it's a guessing game!