The BEST episodes of Chicago Med season 4

Every episode of Chicago Med season 4, ranked from best to worst by thousands of votes from fans of the show. The best episodes of Chicago Med season 4!

An emotional ride through the day-to-day chaos of the city's most explosive hospital and the courageous team of doctors that holds it together. They will tackle unique new cases inspired by topical events, forging fiery relationships in the pulse-pounding pandemonium of the emergency room, and through it all, familiar faces from the Chicago Police and Fire departments will intertwine as this third team of Chicago heroes hits the ground running.

Last Updated: 4/28/2024Network: NBCStatus: Continuing
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Never Let You Go
star
7.94
706 votes

#1 - Never Let You Go

Season 4 - Episode 19 - Aired 4/24/2019

The hospital goes into lockdown mode when a man with a gun holds medical staff hostage. Goodwin is forced to make a tough decision. Dr. Rhodes begins to realize his time with his father is getting short.

Watch Now:Amazon
With a Brave Heart
star
7.92
689 votes

#2 - With a Brave Heart

Season 4 - Episode 22 - Aired 5/22/2019

Dr. Charles and Caroline set some major plans. Ava fights to keep her relationship with Connor. Agent Lee informs Will of news that may put his life in danger.

Directors: Michael Waxman
Watch Now:Amazon
We Hold These Truths
star
7.82
684 votes

#3 - We Hold These Truths

Season 4 - Episode 15 - Aired 2/20/2019

After witnessing a pick-up truck plow through a street fair, Natalie and Maggie are forced to make some tough decisions on the fly. The doctors and nurses of Chicago Med find themselves on high alert with the influx of patients arriving in need of aid. Dr. Charles ex-wife comes to town with news.

Directors: Nicole Rubio
Watch Now:Amazon
When to Let Go (2)
star
7.80
835 votes

#4 - When to Let Go (2)

Season 4 - Episode 2 - Aired 10/3/2018

The doctors and nurses of Chicago Med find themselves on high alert when an overflow of patients are rushed into the doors following a terrifying apartment complex blaze. Dr. Rhodes fights to save the life of one of “Chicago Fire’s” own, while Dr. Halstead and his brother Jay struggle with their own personal battle. [Chicago Fire S07E02 Going to War (1)] [Chicago P.D. S06E02 Endings (3)]

Watch Now:Amazon
Death Do Us Part
star
7.77
715 votes

#5 - Death Do Us Part

Season 4 - Episode 9 - Aired 12/5/2018

Will and Natalie prepare for their big day, but an unsuspecting Will soon finds himself sidetracked. Dr. Charles disagrees with Goodwin on how to best handle a patient’s treatment while Dr. Choi and April are on their own when a pregnant woman delivers. Dr. Rhodes finds himself operating on a patient that is of great importance to Det. Halstead.

Directors: Fred Berner
Watch Now:Amazon
Forever Hold Your Peace
star
7.75
663 votes

#6 - Forever Hold Your Peace

Season 4 - Episode 21 - Aired 5/15/2019

Caroline shares news that forces Dr. Charles to make a serious decision about their relationship. Maggie meets her sister’s new boyfriend but danger may lie ahead. Dr. Rhodes experiences a huge loss. Dr. Choi and April face an unexpected challenge.

Watch Now:Amazon
The Poison Inside Us
star
7.73
782 votes

#7 - The Poison Inside Us

Season 4 - Episode 7 - Aired 11/7/2018

The hospital is forced to evacuate when a toxic chemical is brought into the E.D., leaving patients and the staff in grave danger. Stuck in an elevator, Dr. Charles and Dr. Manning are forced to take drastic measures with a pregnant woman. Goodwin is tasked with making difficult choices and Dr. Rhodes discovers a secret that Dr. Bekker has been holding from him.

Directors: Milena Govich
Watch Now:Amazon
Tell Me the Truth
star
7.72
705 votes

#8 - Tell Me the Truth

Season 4 - Episode 18 - Aired 4/3/2019

Dr. Rhodes receives an alarming phone call that prompts him to rush out in the middle of an important surgery. Dr. Halstead comes to the aid of an FBI agent who is brought into the ER, but he suspects there is more to the story than he is being told. Dr. Manning and Dr. Choi find themselves on opposite sides of a major disagreement over doctor-patient confidentiality.

Directors: Vincent Misiano
Watch Now:Amazon
Old Flames, New Sparks
star
7.72
683 votes

#9 - Old Flames, New Sparks

Season 4 - Episode 16 - Aired 2/27/2019

Natalie and Will grow further apart. Daniel struggles to come to terms with his feelings toward his ex-wife. The personal issues between Connor and Ava continue to cause problems at the hospital.

Directors: Elodie Keene
Watch Now:Amazon
Who Can You Trust
star
7.71
683 votes

#10 - Who Can You Trust

Season 4 - Episode 11 - Aired 1/16/2019

Will adjusts to hospital life in the aftermath of his recent undercover activities. Ethan and April’s personal relationship starts to interfere with their working situation. Dr. Charles and Dr. Manning collaborate on a patient suffering from Alzheimer’s. Dr. Rhodes and Dr. Bekker have a difference of opinion in dealing with a woman in desperate need of a kidney transplant.

Watch Now:Amazon
Play By My Rules
star
7.71
744 votes

#11 - Play By My Rules

Season 4 - Episode 8 - Aired 11/14/2018

Dr. Charles struggles to convince Dr. Choi that surgery isn’t always the answer. Dr. Rhodes finds himself in hot water with Goodwin when he disobeys her direct order. April becomes frustrated with Maggie when she continues to question her leadership role as the stand-in charge nurse. Dr. Manning suspects Dr. Halstead is keeping something from her.

Directors: Valerie Weiss
Watch Now:Amazon
The Space Between Us
star
7.68
708 votes

#12 - The Space Between Us

Season 4 - Episode 17 - Aired 3/27/2019

When a car unexpectedly smashes through the ambulance bay doors, Dr. Choi makes some difficult decisions in an effort to save a worker trapped beneath the wreckage and April, who’s also in danger. Dr. Rhodes and Dr. Bekker tend to a patient whose best chance at survival is an extremely risky heart surgery. Dr. Charles struggles to come to terms with ex-wife Caroline’s treatment.

Directors: Daniela De Carlo
Watch Now:Amazon
All the Lonely People
star
7.68
709 votes

#13 - All the Lonely People

Season 4 - Episode 10 - Aired 1/9/2019

April finds herself in a dangerous situation and Natalie gets an update on Will. Dr. Rhodes gears up for a gala honoring his hybrid O.R. and tries to convince Dr. Bekker to join him.

Directors: Michael Waxman
Watch Now:Amazon
The Things We Do
star
7.67
666 votes

#14 - The Things We Do

Season 4 - Episode 12 - Aired 1/23/2019

Dr. Halstead rushes to rescue Dr. Manning after she is involved in a Medevac helicopter crash. The personal drama between Dr. Rhodes and Dr. Bekker boils over. Dr. Charles and Dr. Choi work to help a patient come to terms with their addiction. April helps Elsa deal with the loss of her first patient.

Directors: Carl Seaton
More Harm Than Good
star
7.66
653 votes

#15 - More Harm Than Good

Season 4 - Episode 20 - Aired 5/8/2019

Dr. Charles and Dr. Manning disagree on how to handle a patient who they discover is poisoning herself. Dr. Rhodes throws some serious accusations at Dr. Bekker. Dr. Halstead has suspicions about Natalie’s new boyfriend. Dr. Choi tends to Bernie.

Directors: Milena Govich
Be My Better Half
star
7.66
850 votes

#16 - Be My Better Half

Season 4 - Episode 1 - Aired 9/26/2018

Goodwin finds herself quickly clashing with the new hospital COO Gwen Garrett while April questions whether or not Ethan’s sister, Emily, is using again. Dr. Charles deals with his past actions.

Directors: Michael Waxman
Lesser of Two Evils
star
7.64
747 votes

#17 - Lesser of Two Evils

Season 4 - Episode 6 - Aired 10/31/2018

Dr. Manning and Dr. Halstead become skeptical of a patient’s injuries when the victim of a car accident is brought into the hospital. Ethan and April have a difficult time understanding Emily’s attachment to her boyfriend despite recent developments. Will and Natalie brace for their joint bachelor/bachelorette party.

Directors: Martha Mitchell
Can't Unring That Bell
star
7.63
687 votes

#18 - Can't Unring That Bell

Season 4 - Episode 14 - Aired 2/13/2019

Connor, who is in hot water with the hospital’s Oversight Committee, handles a gunshot victim that has unexpected ties to Halstead. Maggie feels guilty about the return of a former patient. Charles has an awkward first date.

Directors: Lin Oeding
Heavy Is the Head
star
7.63
831 votes

#19 - Heavy Is the Head

Season 4 - Episode 3 - Aired 10/10/2018

When a sick boy is brought in, Ethan is faced with a tough decision that quickly escalates into a complicated and dangerous situation. Connor and Maggie are put to the test, while Natalie and Ethan aren’t sure what to make of Elsa, the new third year medical student.

Directors: Michael Waxman
Writer: Jeff Drayer
Backed Against the Wall
star
7.63
825 votes

#20 - Backed Against the Wall

Season 4 - Episode 4 - Aired 10/17/2018

Dr. Halstead gets an unplanned visit from the CPD while Ethan is skeptical of a woman who is experiencing chronic pain. Natalie tends to a cancer patient whose brother has strong feelings on why he is refusing to lend his assistance.

Directors: Vincent Misiano
Writer: Eli Talbert
Ghosts in the Attic
star
7.61
691 votes

#21 - Ghosts in the Attic

Season 4 - Episode 13 - Aired 2/6/2019

Halstead hides the theft of his gun from a suspicious Manning. Tensions are still high between Connor and Bekker, who take a risk operating on an HIV-positive patient. Hank breaks down when he sees a patient from his past.

Directors: Michael Pressman
What You Don't Know...
star
7.58
784 votes

#22 - What You Don't Know...

Season 4 - Episode 5 - Aired 10/24/2018

When things become complicated, Will is forced to lie to Natalie. Ethan and April find out some compromising information about Emily’s boyfriend and Ava is unsure of what to do with a patient who is refusing treatment.

Directors: Donald Petrie