The WORST episodes of Royal Pains

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

ROYAL PAINS centers on a young E.R. doctor who, after being wrongly blamed for a patient's death, moves to the Hamptons and becomes the reluctant "doctor for hire" to the rich and famous. When the attractive administrator of the local hospital asks him to treat the town's less fortunate, he finds himself walking the line between doing well for himself and doing good for others.

Last Updated: 1/7/2024Network: USA NetworkStatus: Ended
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Lama Trauma
star
6.90
303 votes

#1 - Lama Trauma

Season 7 - Episode 7 - Aired 7/14/2015

Hank helps Boris prep a secret patient for surgery; Evan tries to chase a bad omen from the hospital; and an offer from Quami forces Divya to make a major decision about her personal life.

Directors: Lara Shapiro
Writer: Jon Sherman
Watch Now:Apple TV
Rebound
star
6.96
342 votes

#2 - Rebound

Season 7 - Episode 1 - Aired 6/2/2015

Hank helps a TV host; Evan and Paige get some unexpected news; Divya saves a young skateboarder.

Watch Now:Apple TV
Playing Doctor
star
6.97
296 votes

#3 - Playing Doctor

Season 7 - Episode 3 - Aired 6/16/2015

An actor wants to shadow Hank in order to prepare for a role; Divya performs a genetic test on a royal patient; Evan accidentally takes his new motto of transparency a step too far; and Paige embraces chaos during a home renovation project.

Directors: Emile Levisetti
Watch Now:Apple TV
Lending a Shoulder
star
6.98
293 votes

#4 - Lending a Shoulder

Season 7 - Episode 8 - Aired 7/21/2015

Hank has an epiphany after running into his former fiancé; Evan and Paige help Elán through her labor; and Divya envisions a new future for her career and family.

Watch Now:Apple TV
The Good News Is...
star
7.04
395 votes

#5 - The Good News Is...

Season 8 - Episode 7 - Aired 6/29/2016

Hank helps a theater legend at Eddie's wedding; Eddie and Evan reconcile. Paige and Evan wait for pregnancy test results.

Directors: Michael Rauch
Watch Now:AmazonApple TV
Crazy Love
star
7.06
1130 votes

#6 - Crazy Love

Season 1 - Episode 7 - Aired 7/23/2009

Hank and Divya treat a Spanish spitfire involved in an accident whose injuries are more serious then they appear. A dream job offer from Boris brings Jill's childhood friend Katie back to the Hamptons, but tempers flare when Hank learns Boris has been keeping a dark secret. And the arrival of Divya's fiancee causes to her to rethink their relationship.

Watch Now:AmazonApple TV
Open Invitation
star
7.18
505 votes

#7 - Open Invitation

Season 5 - Episode 11 - Aired 8/28/2013

Hank advocates an aggressive treatment plan for Don; Evan reaches out to Eddie to help Hank; Divya learns a long-kept secret.

Directors: Joe Collins
Watch Now:AmazonApple TV
The Honeymoon's Over
star
7.23
1036 votes

#8 - The Honeymoon's Over

Season 1 - Episode 8 - Aired 7/30/2009

Hank treats a childrens book illustrator that has a heart condition. Divya is treating a software guru who just married a swimsuit supermodel. Hank and Jill deal with the fact that Hank seems to be going down the same road as her former boyfriend.

Watch Now:AmazonApple TV
A History of Violins
star
7.26
1093 votes

#9 - A History of Violins

Season 2 - Episode 15 - Aired 2/3/2011

Hank makes a house call to help a teen singing prodigy. Hank and Emily have their biggest fight yet and Eddie just has to insert himself into it. Evan finds himself in a sticky situation with the Paige's father.

Watch Now:AmazonApple TV
It's Like Jamais Vu All Over Again
star
7.27
970 votes

#10 - It's Like Jamais Vu All Over Again

Season 1 - Episode 9 - Aired 8/6/2009

During an equestrian show, a young girl falls from her horse and is complaining of strange symptoms which makes Hank believe her father is hiding something. Elsewhere, Divya weighs over telling her dad the truth about her job, and Hank meets Jill's ex-husband.

Watch Now:AmazonApple TV
The Prince of Nucleotides
star
7.28
290 votes

#11 - The Prince of Nucleotides

Season 7 - Episode 4 - Aired 6/23/2015

Hank treats a transgender teenager; Evan and Jeremiah host a gala fundraiser.

Writer: Carol Flint
Watch Now:AmazonApple TV
Voices Carry
star
7.31
284 votes

#12 - Voices Carry

Season 7 - Episode 5 - Aired 6/30/2015

Hank goes to Manhattan with Olympia; Evan fears Boris is keeping a secret; Divya receives a visitor.

Directors: Paulo Costanzo
Writer: Jessica Ball
Watch Now:AmazonApple TV
False Start
star
7.32
379 votes

#13 - False Start

Season 7 - Episode 2 - Aired 6/9/2015

Hank treats a rookie tri-athlete; Evan and Paige move into the guest house; Divya is in a jam.

Directors: Joe Collins
Watch Now:AmazonApple TV
Secret Asian Man
star
7.34
289 votes

#14 - Secret Asian Man

Season 7 - Episode 6 - Aired 7/7/2015

Keller asks Hank for help with an embarrassing medical problem; Divya treats a group of Civil War reenactors who are suffering from an age-old disease; and Evan fears he may be in over his head when he's roped into a secret project with Boris.

Directors: Ed Fraiman
Watch Now:AmazonApple TV
Who's Your Daddy?
star
7.34
574 votes

#15 - Who's Your Daddy?

Season 4 - Episode 10 - Aired 8/22/2012

With a Polo tournament in full swing in the Hamptons, HankMed's on hand to treat a Polo Team Owner who won't quit playing despite his condition. Also, Divya deals with the realities of dating and Evan frets about an impending meeting of the in-laws.

Directors: Michael Watkins
Watch Now:AmazonApple TV
If I Were a Sick Man
star
7.35
1078 votes

#16 - If I Were a Sick Man

Season 1 - Episode 6 - Aired 7/16/2009

Hank finds himself needing to quarantine the guests from a party and considers making a call to the County Health to announce a possible outbreak. Elsewhere, Evan makes some interesting facts concerning Divya's personal life, and Jill wants to keep her relationship with Hank under wraps.

Watch Now:AmazonApple TV
Vertigo
star
7.38
478 votes

#17 - Vertigo

Season 5 - Episode 5 - Aired 7/17/2013

Hank continues to treat Don and becomes more involved in the lives of Don and Molly; Divya tends to a young conductor, whose passion for music may be harming his health; Evan confronts obstacles in his new political venture; and Paige sees a new side of Blythe.

Directors: Michael Watkins
Writer: Carol Flint
Watch Now:AmazonApple TV
But There's a Catch
star
7.39
709 votes

#18 - But There's a Catch

Season 3 - Episode 2 - Aired 7/6/2011

Ken "Killer" Keller hosts a charity football tournament on his estate and invites Hank to play along. The contest gets fierce as Keller gets injured and Hank must put his competitive nature aside to treat him.

Directors: Michael Watkins
Watch Now:AmazonApple TV
No Man Is an Island
star
7.40
1059 votes

#19 - No Man Is an Island

Season 1 - Episode 5 - Aired 7/9/2009

Hank and Evan take on a job looking after a wealthy family who live on a private island which is technology-free. Despite Hank's better judgment, a woman plans on having her baby right there on the island. Meanwhile, Evan finds himself clashing with a teenage family member. Back at home, Jill struggles with hospital politics.

Directors: Don Scardino
Writer: Carol Flint
Watch Now:AmazonApple TV
Lovesick
star
7.40
1110 votes

#20 - Lovesick

Season 2 - Episode 2 - Aired 6/10/2010

After having her heart broken, Newberg's stepdaughter lands in the hospital with a condition directly related to her relationship woes. Divya attempts to bring romance into her relationship with Raj.

Watch Now:AmazonApple TV
Blythe Spirits
star
7.41
505 votes

#21 - Blythe Spirits

Season 5 - Episode 2 - Aired 6/19/2013

Hank treats a police officer whose rebellious daughter could be harming his health; Evan and Paige get involved in a neighborhood feud; a patient makes a surprising offer; and Divya faces complications from the changes in her life.

Watch Now:AmazonApple TV
Mano A Mano
star
7.42
1171 votes

#22 - Mano A Mano

Season 2 - Episode 5 - Aired 7/1/2010

Hank saves a hand; Boris' health quickly fails after Marisa's treatment; Divya clashes with Dr. Peck.

Directors: Matthew Penn
Watch Now:AmazonApple TV
Astraphobia
star
7.43
1063 votes

#23 - Astraphobia

Season 2 - Episode 16 - Aired 2/10/2011

When a park ranger is hit by lightning, Hank is able to save his life. Now the ranger wants to recapture the experience.

Watch Now:AmazonApple TV
Medusa
star
7.44
1174 votes

#24 - Medusa

Season 2 - Episode 4 - Aired 6/24/2010

Boris flies Hank to another country, where he and another doctor research potentially life saving gene therapies. Back in the Hamptons, Hank's temporary replacement, Dr. Emily Peck, rubs Divya the wrong way.

Directors: Matthew Penn
Watch Now:AmazonApple TV
Big Whoop
star
7.44
1058 votes

#25 - Big Whoop

Season 2 - Episode 11 - Aired 8/19/2010

Hank and Emily care for a patient together but disagree on the course of treatment. Meanwhile, Evan concocts a cyber retaliation plan against Emily.

Directors: Michael Watkins
Watch Now:AmazonApple TV