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: 11/16/2025Network: BBC OneStatus: Continuing
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#1 - Distant Elephants

Season 16 - Episode 9 - Aired 11/10/2001

Directors: Paul Duane
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#2 - Blowing the Whistle

Season 16 - Episode 19 - Aired 1/12/2002

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#3 - Checking In, Checking Out

Season 16 - Episode 18 - Aired 1/5/2002

Directors: Reza Moradi
Writer: Dan Sefton
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#4 - Playing with Fire

Season 16 - Episode 17 - Aired 12/29/2001

The episode starts with Patrick lying alone in the river, half dead, after being attacked by Greg James (Rachel's husband) and left for dead. Lara and the police are walking through the woods looking for Patrick. Eventually they find him, the police are prepared to accept he is dead but Lara will not, she gives him mouth to mouth and eventually he comes back into the world of the living. Niki and Comfort turn up in an ambulance and take Patrick back to the A&E department. Lara's boyfriend Craig turns up and is angry when Lara tells him what has happened to Patrick because he thinks she has been cheating on him. However he forgives her and suggests they book a hotel room for the night, Lara refuses though and says that she can't be with him any more. Lara goes to the hospital to see Patrick who has hypothermia and the rist of brain damage. However while she is there Philippa (Max's locum) ropes Lara into helping treat a patient who has been bitten by a snake, Philippa says that Lara sho

Directors: Graham Wetherell
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#5 - Consequences

Season 16 - Episode 16 - Aired 12/26/2001

Rachel goes to sort out a fight but they attack her. She is brought into A&E and Patrick, who is having an affair with her, is put in charge of her. Then her husband Greg turns up. Rachel goes into cardiac arrest and they are unable to save her. Greg is told that she was pregnant and that the baby died with her. Greg knew nothing about the baby and asks how long she had been pregnant for. He is told that it was too early to say exactly but it would only have been a few weeks. Greg is shocked and says that he has been away for longer than that. This means that the baby must be patrick's, this a big surprise for him too. Patrick goes to see Rachel's body and to tell her that he loved her but just as he is kissing her hand Greg comes in. He discovers that this is who Rachel has been having an affair with and must be the baby's father. Greg punches Patrick in the face and starts attacking him. The security throw Greg out of the hospital but do not report him to the police. Patrick goes hom

Directors: Adrian Bean
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#6 - Life and Soul

Season 16 - Episode 15 - Aired 12/22/2001

Directors: Jim O'Hanlon
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#7 - Happily Ever After

Season 16 - Episode 14 - Aired 12/15/2001

Directors: Ian White
Writer: Ginnie Hole
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#8 - Someone to Watch over Me

Season 16 - Episode 13 - Aired 12/8/2001

Directors: Nic Phillips
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#9 - Best Intentions

Season 16 - Episode 12 - Aired 12/1/2001

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#10 - The Morning After

Season 16 - Episode 11 - Aired 11/24/2001

Directors: Sue Dunerdale
Writer: Edel Brosnan
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#11 - It's a Family Affair

Season 16 - Episode 10 - Aired 11/17/2001

Writer: Chris Webb
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#12 - You're Going Home in the Back of an Ambulance

Season 16 - Episode 20 - Aired 1/19/2002

Directors: Ian White
Writer: Paul Cornell
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#13 - For My Next Trick

Season 16 - Episode 8 - Aired 11/3/2001

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#14 - Facing the Future

Season 16 - Episode 7 - Aired 10/27/2001

Directors: Nic Phillips
Writer: Jo O'Keefe
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#15 - White Lies

Season 16 - Episode 6 - Aired 10/20/2001

Writer: Peter Mills
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#16 - Crash Course

Season 16 - Episode 4 - Aired 10/6/2001

Writer: Paul Cornell
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#17 - All's Fair

Season 16 - Episode 3 - Aired 9/29/2001

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#18 - Dirty Laundry

Season 16 - Episode 2 - Aired 9/22/2001

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#19 - Holding the Baby

Season 16 - Episode 1 - Aired 9/15/2001

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#20 - Breaking the Spell (2)

Season 15 - Episode 36 - Aired 4/28/2001

This was Holly's last ever episode. She is captured by Tom who smashes up her car and then takes her away to a disued part of the hospital. He makes her put on a silver dress and says they are going to die right now lying next to each other. However Patrick has realized that she is missing and goes of to look for her. Holly manages to throw a chair out of the window which atracts Patrick's attention. Patrick comes up to rescue her but before he arrives Tom injects her with something that will kill her. When Patrick arrives he chases away Tom and finds Holly unconsious. Patick gives Holly mouth to mouth and she comes round. They hug while Robbie Williams's Angels is playing. So think that they are going to live happily ever after together. But in the next episode that you see, Holly has gone off to Australia and Patrick is having an affair with Rachel. Patrick says Holly's name once more before his death, I think it is so sad that he could forget Holly so quickly, but to me they will al

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#21 - Breaking the Spell (1)

Season 15 - Episode 35 - Aired 4/21/2001

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#22 - Mix and Match

Season 15 - Episode 34 - Aired 4/14/2001

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#23 - Hearts and Minds

Season 16 - Episode 30 - Aired 3/30/2002

Directors: A. J. Quinn
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#24 - Code Red

Season 16 - Episode 40 - Aired 6/29/2002

In the previous episode Niki and Josh have had an argument and Josh has told her that she does not use her initiative so Niki is very angry with Josh. The episode starts with Niki and Fin sitting in the ambulance with Niki doing an impression of Josh. Although Fin laughs at it, he tells her that she has gone far enough and to stop. Niki says Josh is a prat but Fin disagrees and explains that all Josh wants is the best for her and to use her initiative. A call comes through for Comfort and Josh who are in another ambulance, telling them that they have to go to Bull Green where there is an injured man and police will also be on their way. Comfort asks why there are police attending if there is just an injured man. The reply over the radio says that the caller hung up before they could get any more information. However Niki, who is trying to prove to Josh that he is wrong and that she does use her initiative, says that she and Fin are closer to Bull Green and should therefore go there ins

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#25 - Broken Hearts

Season 16 - Episode 39 - Aired 6/22/2002