My Own Cosa Nostra

So we've already skipped the strip that I'm missing, just prior to this one. Yet for story continuity it doesn't seem to harm us.

I'm not sure of the significance of Deacon's head being hidden by balloons and Sam peeking out from under one, other than to show us that Kelly is fully aware of how wordy the strip is.

Cosa Nostra, of course, refers to the Mafia, a Sicilian criminal society.