The BEST episodes of Saving Hope

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

When charismatic Chief of Surgery Charlie Harris at Toronto's Hope-Zion Hospital ends up in a coma, he leaves the hospital in chaos - and his fiancée and fellow surgeon, Alex Reid, in a state of shock. Along with newly-arrived star surgeon, Joel Goran, Alex races to save Harris' life. As the action unfolds, comatose Dr. Harris explores the hospital halls in "spirit" form, not sure if he's a ghost or a figment of his own imagination. Reid, along with her fellow doctors, press on to save his life and those of their other patients, as they deal with the complicated and courageous decisions that are made in their daily struggle to keep hope alive.

Last Updated: 8/26/2026Network: CTVStatus: Ended
star
8.00
30 votes

#1 - Hope Never Dies

Season 5 - Episode 18 - Aired 8/3/2017

Following a mass casualty accident involving a bus full of teenagers, Alex & Charlie rush to the scene to try and save the kids while waiting for backup to arrive. The Hope Zion Hospital family must band together to overcome the tragedy and move on to the next chapter of their lives.

The Other Side of Midnight
star
8.00
30 votes

#2 - The Other Side of Midnight

Season 3 - Episode 9 - Aired 12/10/2014

Alex and Joel are challenged with a marathon surgery. Charlie has a day off that's full of surprises. Dana, Zach and James are tested.

Heartsick
star
7.70
180 votes

#3 - Heartsick

Season 1 - Episode 8 - Aired 7/26/2012

With Charlie's life hanging in the balance, Alex and Dawn go head-to-head over who gets to be his legal decision maker – but are forced to put personal matters aside when they scrub into a heart transplant surgery together. Charlie, meanwhile, is in no mood to talk to the heart donor – a deceased prisoner.

Directors: David Wellington
Watch Now:Apple TV
Blindness
star
7.40
210 votes

#4 - Blindness

Season 1 - Episode 3 - Aired 6/21/2012

After Charlie’s hand moved in the last episode, Alex has high hopes for his recovery, while she treats a patient who already has multiple surgeries under his belt. Meanwhile, Charlie coaches a young man killed in a roofing accident who has unfinished business with his severely injured brother.

Directors: John Fawcett
Writer: Adam Pettle
Ride Hard or Go Home
star
7.40
209 votes

#5 - Ride Hard or Go Home

Season 1 - Episode 12 - Aired 9/6/2012

Alex and Shahir bring Charlie to the O.R. for a last resort procedure, but Charlie must first face his past before he can wake up. Meanwhile, Joel performs a risky surgery on a female jockey and Gavin crosses the line when he meets an Alzheimer's patient.

Directors: Ken Girotti
Writer: Adam Pettle
Bed One
star
7.40
210 votes

#6 - Bed One

Season 2 - Episode 7 - Aired 8/6/2013

When a heat wave hits the city, Alex is appointed Trauma Team Leader as the hospital is faced with an influx of patients during a blackout. With no back-up power available, Dawn and Charlie must figure out a way to continue their surgery as Joel and Maggie attempt to keep a patient alive while stuck in an elevator.

Directors: Peter Wellington
Broken Hearts
star
7.30
90 votes

#7 - Broken Hearts

Season 2 - Episode 18 - Aired 2/27/2014

After Dawn diagnoses her with an irregular heartbeat, Alex is supposed to be resting up – but before she gets the chance, The Great Randall returns to Hope Zion Hospital after an experimental cancer treatment gone wrong. Meanwhile, Charlie struggles with the implications of his fight with Joel, who is trying to treat a troubled mathematician.

Directors: David Wellington
Consenting Adults
star
7.20
180 votes

#8 - Consenting Adults

Season 1 - Episode 7 - Aired 7/19/2012

A routine surgical procedure goes awry when Alex’s patient, a soon-to-be-wed young woman, falls into a coma. While Alex struggles with a case that hits close to home, Joel treats a patient who does his own body modifications, and Charlie finds himself drawn to Alex’s coma patient in the spirit world. Meanwhile, a young woman comes into the E.R. with a neck injury, but it’s Hope Z’s psych resident, Gavin who knows how to help her.

Directors: John Fawcett
A New Beginning
star
7.20
180 votes

#9 - A New Beginning

Season 1 - Episode 10 - Aired 8/23/2012

When Joel gets cold feet in the OR, Kinney takes him with her to her hometown to help clear his head. During their field trip, a woman gets pinned underneath a truck and Joel and Kinney lead the rescue effort. Meanwhile, Charlie meets a newly deceased therapist who suspects it's an emotional block that is keeping him in his coma.

Directors: Steve DiMarco
Writer: Aaron Martin
The Law of Contagion
star
7.20
150 votes

#10 - The Law of Contagion

Season 1 - Episode 11 - Aired 8/30/2012

When a plane is forced to land due to a sick passenger, the patient is taken to Hope Zion where Alex performs emergency surgery and discovers that this passenger may have brought a deadly and contagious virus into the hospital.

Directors: T.W. Peacocke
Writer: Greg Nelson
Pink Clouds
star
7.20
119 votes

#11 - Pink Clouds

Season 1 - Episode 13 - Aired 9/13/2012

After a major turn of events, Alex is faced with a monumental question: is her life now changed forever? Meanwhile, Joel is in a race against time to save a young patient from rapidly advancing flesh-eating disease.

Directors: David Wellington
Watch Now:Apple TV
Why Waste Time
star
7.20
180 votes

#12 - Why Waste Time

Season 2 - Episode 3 - Aired 7/9/2013

Alex is trying to get her life back to normal with Charlie and at Hope Zion Hosital – but with Charlie’s head in the clouds and the pressure to find her medical niche – she’s struggling. Inspiration comes in the form of an immigrant doctor who needs Alex to save his wife’s life, and in return, helps her find her calling.

Directors: John Fawcett
Defense
star
7.20
180 votes

#13 - Defense

Season 2 - Episode 4 - Aired 7/16/2013

The doctors at Hope Zion Hospital are forced to deal with people from their past as Alex, Charlie and Joel take on the daunting task of operating on a malpractice lawyer known for suing every doctor in his path. Meanwhile, Zach is tested when the last person he wants to treat comes into his E.R. and a Season 1 patient returns with some difficult insight for Charlie and Alex.

Directors: Kelly Makin
All Things Must Pass
star
7.20
150 votes

#14 - All Things Must Pass

Season 2 - Episode 6 - Aired 7/30/2013

After a young, healthy and hunky fireman dies suddenly at Hope Zion Hospital, Alex must take the stand at Hope Zion’s Morbidity and Mortality (M&M) Rounds to find out what went wrong and who is to blame. Meanwhile, Charlie deals with a nervous aspiring Nun, and Joel has to decide if he can be the man that comes through for Sonja.

Directors: Jeff Woolnough
Little Piggies
star
7.10
210 votes

#15 - Little Piggies

Season 2 - Episode 2 - Aired 7/2/2013

Alex must learn to stick up for herself and not be intimidated by Dawn (Charlie’s ex-wife) in order to work alongside her and perform a minimally invasive heart procedure to save a patient’s life. Meanwhile, Joel unlocks a mystery to a young girl’s disease, while getting some advice from Charlie, who is trying to figure out how to help his comatose patient come back from being a spirit. It’s a week of defying the odds at Hope Zion Hospital.

Directors: Kelly Makin
Writer: Adam Pettle
Watch Now:Apple TV
The Fight
star
7.10
210 votes

#16 - The Fight

Season 1 - Episode 4 - Aired 6/28/2012

A sleep-deprived Alex takes on a night shift in the ER where an all-star hockey enforcer may be skating full-speed towards an early death. Meanwhile, Charlie meets a suburban punk who is facing the biggest fight of his life.

Directors: Kelly Makin
Writer: Greg Nelson
Wishbones
star
7.00
150 votes

#17 - Wishbones

Season 2 - Episode 10 - Aired 1/2/2014

When Alex’s brother Luke is admitted to Hope Zion Hospital in critical condition, Joel and Charlie must work together to keep him alive while keeping his admittance a secret from Alex. Meanwhile, Alex figures out a way to remove a tumour from a patient pregnant with twins, while Maggie is thrown off her game by the patient’s gorgeous OB/GYN.

Directors: David Wellington
Writer: Sherry White
Watch Now:Apple TV
star
7.00
30 votes

#18 - Let Me Go (2)

Season 4 - Episode 18 - Aired 2/14/2016

Second half of a 2-hour season finale. Charlie's condition proves more dangerous than initially thought, as Alex and Shahir struggle to save his life.

A Simple Plan
star
7.00
60 votes

#19 - A Simple Plan

Season 3 - Episode 16 - Aired 2/4/2015

Alex and Charlie try to save the life of a man on the run; a spirit won't leave Alex alone; Maggie and Zach try to help a couple; Joel and Shahir help a bride walk down the isle.

Days of Heaven
star
7.00
30 votes

#20 - Days of Heaven

Season 3 - Episode 10 - Aired 12/17/2014

Celebrated neurosurgeon Thor MacLeod gives Alex an offer; Charlie deals with a fatigued spirit.

The Heartbreak Kid
star
7.00
60 votes

#21 - The Heartbreak Kid

Season 3 - Episode 8 - Aired 12/3/2014

Alex and Charlie perform a double surgery on a teenage girl; Joel works at the clinic; Maggie must pull through when she is reunited with the Zarb family.

The Way We Were
star
7.00
60 votes

#22 - The Way We Were

Season 3 - Episode 7 - Aired 11/26/2014

Shahir and Alex attempt a radical surgery on an Alzheimer's patient; Tom discovers his mentor is keeping a secret; Charlie is torn between Dawn's wishes and the final requests of a dead con-man.

Joel 2:31
star
7.00
90 votes

#23 - Joel 2:31

Season 3 - Episode 6 - Aired 10/23/2014

Alex, Maggie and Joel face a mystery; Charlie meets a patient with an usual link; an unexpected visitor has Zach questioning his abilities as a dad

Breaking Away
star
7.00
90 votes

#24 - Breaking Away

Season 3 - Episode 5 - Aired 10/16/2014

A car accident brings a ‘she‐bear’ mother and her son to the hospital. Alex Reid (Erica Durance) and Joel Goran (Daniel Gillies) discover the mother is in need of a transplant – and her son is very adamant that he be involved in the surgery. Dawn Bell (Michelle Nolden) instructs them on procedure and, before they know it, the trio are brought before an ethics panel – including one very unconvinced psychiatrist. Meanwhile, the mother’s spirit is determined to get Charlie Harris (Michael Shanks) to do her bidding, which includes stepping out of his comfort zone when console her son. Then, Charlie finds himself pulled into the ER to help Zach Miller (Benjamin Ayres) with a patient whose obsession might cost him his life. Plus, new resident Rian (Danso Gordon) and Maggie Lin (Julia Taylor Ross) search the hospital for Hope Zion’s very first “code crown,” which results in having to answer to a shaken Dawn.

Stand by Me
star
7.00
90 votes

#25 - Stand by Me

Season 3 - Episode 4 - Aired 10/9/2014

Charlie and Alex try to navigate their way back as a couple, as Alex faces her first day back as a doctor at Hope Zion Hospital. It is none other than the Chief of Surgery, Dawn Bell, who will act as a "buddy colleague" during her rounds. Dawn comes to realize that she may also have some unresolved issues relating to Alex’s stabbing. Meanwhile, Charlie is visited by one of the happiest spirits he’s ever encountered. While trying to be a Good Samaritan, Joel unexpectedly finds himself in the middle of a hostage situation at a local street clinic. Psychiatrist Dr. Gavin Murphy meets a new colleague at Hope Zion, who is able to help him navigate his feelings – leading to some welcomed “enlightenment.”