Flame is seen close to Darktail, coughing so hard she can hardly stay on her paws. Seeing this, Darktail lifts a paw and slams it down onto Flame's back, and tells her to quit the racket. The she-cat gives him a scared look and struggles to suppress the coughs. Alderpaw notes that the swat couldn't have done her much good.
Alderpaw tells Darktail that she is likely suffering from whitecough, and suggests that she go and see their medicine cat. Both Flame and Darktail give Alderpaw a blank look, which causes the younger tom to assume that they don't have a medicine cat. Flame starts coughing again, and she backs away from Darktail as if she's afraid to make him angry again.
When Alderpaw comes back with tansy, Flame is lying on her side, rasping and spluttering. He notes that none of the other cats seem to be paying any attention to their sick Clanmate, and Alderpaw realizes that her cough is worse than he originally thought. Alderpaw drops the tansy in front of her, and she looks up at the tom, confused and scared. She asks if she will get better, as she doesn't want to be exiled. Alderpaw lays a forepaw on her flank and asks what her name is. She tells him that her name is Flame, before going into another coughing fit. Afterwards, she chews on the tansy leaves.
Darktail comes up behind Alderpaw and asks if the tansy will work, and Alderpaw replies that it will, and says that if the whitecough had turned into greencough, Flame would have been in real trouble. As Darktail questions Alderpaw about medicine, he doesn't sound very concerned for Flame.
Flame slinks out of some rowan bushes after Violetkit has to hide from an owl Rain and Roach have pinned down. After Violetkit explains that Needlepaw couldn't meet Rain that night, she mockingly calls it sweet, her former kindness having disappeared with her whitecough.
She is one of the cats that accompanies Darktail, Raven, and Rain to the ShadowClan camp with an offering of prey, and Flame places a young rabbit beside Rain's plump pigeon.