"Dean?" It's the right thing to say to him because mention of his brother's name will get through Sam's fog faster than anything. He's been trained this life to respond to his brother over anything else, after all, and the past ten years or so have only reinforced that.

More than that, though, it starts to clear the fog of pain and confusion out of Sam's eyes. Though the inflection had still been Latin as he and Dean's souls had been bound together from the start. They had always been brothers, though sometimes they were closer than others.

Sam starts to struggle to sit up, only to be thwarted by his own body. He lays back down heavily, finally looking around. And pausing as he realizes that he's definitely not in the church he last remembers and definitely not with Crowley. Or Dean. "Jess?" Another moment. "Gabriel? How..."

The shadow doesn't move, no nearer but no further away. The lack of confusion doesn't mean that Sam's doing much better, after all.