The WORST episodes of Casualty

Every episode of Casualty ever, ranked from worst to best by thousands of votes from fans of the show. The worst episodes of Casualty!

They're fighting to save patients while their personal lives are brimming with drama and intrigue. Everything's at stake on the emergency ward.

Last Updated: 4/18/2025Network: BBC OneStatus: Continuing
When Nothing Else Matters
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#1 - When Nothing Else Matters

Season 28 - Episode 34 - Aired 4/19/2014

Fletch attempts to build bridges between a feuding father and son following a car crash in which another sibling suffered a serious head injury. Cal tries to impress Lily as they work together on a patient who appears to have used the internet to diagnose himself with a brain tumour, and Jeff agrees to cover for Ash's daughter, Ella, after she suffers an allergic reaction to ketamine at Robyn's house party

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#2 - In the Name of Love

Season 28 - Episode 44 - Aired 7/6/2014

A highly competitive man ignores Ethan's advice to take it easy after a car accident, putting himself and his son in danger when they take part in a cross-country race - although it does bring Jeff a new love interest in the shape of race organiser Samantha (former Corrie star Michelle Collins), who is also injured along the way. A pregnant woman and her builder are trapped by a collapse on the site of her house build, while back at the hospital, Connie begins to assert her authority over the department

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#3 - Falling (2)

Season 28 - Episode 43 - Aired 6/29/2014

Metal thieves attempt to steal copper from a railway line, only for one of them to be injured and taken to the ED - leaving the other two to cause an accident that derails a train. Among the passengers is a boy being packed off to boarding school and Tess, who must fight to save the youngster's life. But when she becomes trapped herself, Fletch makes a massive sacrifice to save her. Back at the hospital, Connie spends her first day as clinical lead, Ethan and Lily make up, and Cal is still in the doghouse

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#4 - Falling (1)

Season 28 - Episode 42 - Aired 6/22/2014

Zoe sticks up for the ED when the press turn up but a horrific helicopter accident is the last straw that pushes her to make a difficult decision.

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#5 - Unhinged

Season 28 - Episode 41 - Aired 6/14/2014

A man with dementia is brought in after suffering a bump to the head, and after giving the staff the runaround he finally settles down thanks to Connie. But as his condition worsens, can she save him? Jeff and Tamzin are called out to a party where the boiler has exploded, putting intense pressure on an already busy department as an influx of revellers turn in the ED. Ethan and Rita suspect one of the partygoers of being bulimic, while a frustrated father is forced to leave without his ill son being seen.

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#6 - The Dying Game

Season 28 - Episode 40 - Aired 6/7/2014

Rita finds herself in a quandary when a fire in a care home for the elderly leaves her with access to a terminal patient whose ongoing treatment raises a number of concerns - ones that may not be popular if she opts to raise them with the regular medical staff. Lily treats a man with toothache, but persuading him to acknowledge the real cause of his pain proves to be a difficult task. Elsewhere, Connie questions Zoe's competence during a meeting with CEO Guy Self (guest star John Michie), and Lofty returns to the Emergency Department

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#7 - To Yourself Be True

Season 28 - Episode 39 - Aired 5/31/2014

Hospital drama. Connie tries to help a father come to terms with his son's sexuality, while Cal helps treat a severely paranoid patient.

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#8 - The Family Way

Season 28 - Episode 38 - Aired 5/24/2014

Tess is in a awkward position when a pregnant teenager has issues with her father. Cal has to help out a family in which two siblings are feuding after a horrible accident at a Italian restaurant.

Games for the Boys
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#9 - Games for the Boys

Season 28 - Episode 37 - Aired 5/17/2014

Ash works out the truth about his daughter after a patient’s experience with drugs goes bad. Fletch fights to repair a broken family on a couple’s wedding day.

Who Cares
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#10 - Who Cares

Season 28 - Episode 36 - Aired 5/3/2014

An adult reading lesson does not go to plan after a woman becomes jealous of her tutor's girlfriend and causes her to end up in hospital after she suffers with an asthma attack. An elderly woman and her couple of grandchildren make plans to have the best day ever but things don't go to plan.

Carrot Not Stick
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#11 - Carrot Not Stick

Season 28 - Episode 35 - Aired 4/26/2014

Dixie informs an injured motorbike rider that his mother is in a hospice and that if he doesn't go see her soon, it could be too late. Zoe attempts to find out more about Ginny, a woman who collapsed at her birthday party. Fletch really needs to gt his hands on some money forcing him to ask for extra shifts at work.

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#12 - First Impressions

Season 28 - Episode 45 - Aired 7/12/2014

A drugs counsellor enlists the help of a former addict to carry out a carjacking in his desperate bid for money - but when he ends up coughing up blood, it turns out there is something he has been keeping from his wife. Cal is negligent when dealing with the carjacking victim - something that doesn't go unnoticed by Connie - and a leukaemia survivor is suspected of hurting her baby, while Tess returns to the department with a new-found sense of direction in her life. There's tension between Tamzin and Jeff when he goes on a date with Samantha

Only the Lonely
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#13 - Only the Lonely

Season 28 - Episode 33 - Aired 4/12/2014

A prank by a group of girls leads to the discovery of a morbidly obese man suffering a severe asthma attack - but if he is to be treated properly, the medics need to extract him from his first-floor window. The paramedics witness a motorcyclist fleeing a crime with the victim in pursuit, so when his bike skids they are well placed to deal with his badly broken leg - and before long, Dixie finds herself bonding with the angry young criminal. Back in the ED, Robyn is flattered by Cal's support for her during an assessment, only to have her hopes dashed

The Quiet Man
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#14 - The Quiet Man

Season 28 - Episode 32 - Aired 4/5/2014

Connie, Zoe and Lily work together to try and help a father and his daughter, but it proves difficult as the girl suffers from ADHD. Charlie helps a biker come to terms with the fact that his his wife is suffering with dementia.

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#15 - Valves to Vagrants

Season 28 - Episode 31 - Aired 3/29/2014

Former director of surgery Connie Beauchamp returns to the hospital and manages to make a good impression on her first day as she saves a man from prison. Ash decides to finally take his daughter Ella in hand.

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#16 - The Lies We Tell

Season 28 - Episode 30 - Aired 3/22/2014

A pair of environmental activists are brought in for treatment after causing the explosion of a lorry during an anti-fracking demonstration, and Ethan's conscience is tested when it turns out they are both hiding secrets from each other. Rita and Zoe help a desperate prisoner repair his relationship with his mother, while Lily and Ash go head to head at the latter's disciplinary hearing

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#17 - Gravity

Season 28 - Episode 29 - Aired 3/15/2014

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#18 - Survivor's Guilt

Season 28 - Episode 28 - Aired 3/8/2014

With his friend still distressed, Ian tries to help as a keen eye helps a younger brother.

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#19 - The Last Chance Saloon

Season 28 - Episode 27 - Aired 3/1/2014

An intruder breaks into Robyn's home leading her to impale her foot as Ash decides to teach Lily a lesson.

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#20 - The Great Pretender

Season 28 - Episode 26 - Aired 2/22/2014

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#21 - Valentines Day Mascara

Season 28 - Episode 25 - Aired 2/15/2014

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#22 - Once in a Lifetime

Season 28 - Episode 24 - Aired 2/8/2014

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#23 - The Index Case

Season 29 - Episode 7 - Aired 10/18/2014

A man dies from a mysterious injury, leaving Connie wondering whether she missed something. Cal and Ethan discover a rare virus that connects two patients. Hospital drama, starring Amanda Mealing, George Rainsford and Richard Winsor as the emergency medics

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#24 - Muddling Through

Season 29 - Episode 17 - Aired 1/17/2015

Connie struggles without Grace, and the day of Hailey Blake's court case arrives. Connie throws herself into work and treats a hallucinating patient who, upon taking LSD, jumped seven metres from a shopping centre into a ball pit below. As Ethan discovers a mysterious scar on her lower abdomen, he becomes suspicious and investigates further. Zoe treats Hailey after she suffers a panic attack outside the ED, and after later conversing with Connie, they reach the conclusion to not go any further with their court case. Robyn decides she needs to become more helpful, so sets up a food bank.

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#25 - Clinging On

Season 29 - Episode 16 - Aired 1/10/2015

Tess hands in her resignation as clinical nurse manager, prompting Lofty to convince Rita to apply for the new position. Connie is shocked to discover the video footage has leaked online. She faces further heartbreak as Grace reveals she wants to live with her grandmother instead. Zoe treats a male who has fallen through a shed roof, but his symptoms show he has scurvy.