The WORST episodes of Saving Hope

Every episode of Saving Hope ever, ranked from worst to best by thousands of votes from fans of the show. The worst 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: 9/7/2025Network: CTVStatus: Ended
The Medical Pilot
star
7.20
655 votes

#1 - The Medical Pilot

Season 1 - Episode 1 - Aired 6/7/2012

Charlie Harris, the charismatic Chief of Surgery of Toronto’s Hope-Zion Hospital, ends up in a coma, leaving the hospital in chaos – and his fiancée and fellow surgeon, Alex Reid, in a state of shock. 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.

Directors: David Wellington
Watch Now:Apple TV
star
7.26
258 votes

#2 - Problem Child

Season 5 - Episode 13 - Aired 6/29/2017

Alex tries to help patient who hurt himself breaking into a house; a friend of Dr. Dev Sekara has been beaten by the police; a heart patient wishes to open an animal sanctuary.

Watch Now:Apple TV
Miss You
star
7.26
228 votes

#3 - Miss You

Season 4 - Episode 4 - Aired 10/15/2015

The man responsible for Alex's brother's drug problem is admitted to the hospital.

Watch Now:Apple TV
Vamonos
star
7.31
336 votes

#4 - Vamonos

Season 2 - Episode 9 - Aired 8/20/2013

When Alex is forced to put a patient’s gender reassignment surgery on hold, she discovers a secret in his medical history that could save his surgery, but tear his life apart. Charlie deals with a patient who is healthy, sane – and convinced she is going to die at midnight. Meanwhile, Joel secretly helps Sonja deal with a patient of hers who’s been admitted to Hope Zion Hospital.

Directors: Jeff Woolnough
Watch Now:Apple TV
The Parent Trap
star
7.32
187 votes

#5 - The Parent Trap

Season 3 - Episode 11 - Aired 1/7/2015

Charlie tries to treat two female MMA fighters; a fight between Dana and Molly ends up in the hospital; Dawn must save a woman's heart.

Directors: T.W. Peacocke
Watch Now:Apple TV
star
7.32
215 votes

#6 - Shine a Light

Season 4 - Episode 11 - Aired 12/10/2015

When an ice storm strikes the city, Alex and Dawn struggle to keep a good Samaritan alive long enough for her family to say goodbye.

Watch Now:Apple TV
The Great Randall
star
7.32
398 votes

#7 - The Great Randall

Season 1 - Episode 6 - Aired 7/12/2012

When a severely injured man under the spell of hypnosis cannot remember his identity, the hypnotist who put him under is called into the hospital – where he uses his psychic ability to connect Charlie and Alex. 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: Peter Wellington
Writer: Sherry White
Watch Now:Apple TV
star
7.33
260 votes

#8 - Leap of Faith

Season 5 - Episode 12 - Aired 6/22/2017

Alex and Maggie work together to deliver a baby; Charlie treats a magician.

Watch Now:Apple TV
star
7.33
246 votes

#9 - Fix You

Season 5 - Episode 15 - Aired 7/13/2017

The board questions the hospital staff about Charlie's behaviour; a patient convinces Alex to use new-age techniques; Shahir agrees to do an in-utero surgery.

Watch Now:Apple TV
Rock and a Hard Place
star
7.33
231 votes

#10 - Rock and a Hard Place

Season 4 - Episode 6 - Aired 10/29/2015

Dr. Alex Reid must decide whether or not to use information Dr. Charlie Harris gets from a patient's spirit in order to save their life.

Watch Now:Apple TV
Contact
star
7.34
517 votes

#11 - Contact

Season 1 - Episode 2 - Aired 6/14/2012

Alex treats a young boy with mysterious symptoms while dealing with the arrival of Charlie's ex-wife. Elsewhere in the hospital, Joel Goran and Maggie Lin try to help a patient who refuses life-saving treatment on religious grounds.

Directors: David Wellington
Watch Now:Apple TV
star
7.34
229 votes

#12 - All Down the Line

Season 4 - Episode 12 - Aired 1/7/2016

When a chef with oral cancer refuses care, Alex must confront her own feelings about the way Dana is handling her treatment.

Watch Now:Apple TV
Waiting on a Friend
star
7.35
221 votes

#13 - Waiting on a Friend

Season 4 - Episode 8 - Aired 11/12/2015

The death of a trapeze artist sets off a transplant chain of donors and recipients, leading Alex and Shahir to juggle complications and patients to keep the chain moving.

Watch Now:Apple TV
Hearts of Glass
star
7.35
191 votes

#14 - Hearts of Glass

Season 3 - Episode 12 - Aired 1/7/2015

Two patients need the same heart; a patient has never-before-seen orthopaedic hardware; Dr. Maggie Lin feels the pressure of the upcoming boards.

Directors: Jason Priestley
Writer: Patrick Tarr
Watch Now:Apple TV
star
7.36
226 votes

#15 - Shattered (1)

Season 4 - Episode 9 - Aired 11/26/2015

A bomb explodes during a charity run and the majority of victims are brought to Hope Zion Hospital, including some staff.

Watch Now:Apple TV
Beasts of Burden
star
7.36
222 votes

#16 - Beasts of Burden

Season 4 - Episode 2 - Aired 10/1/2015

Dr. Alex Reid puts her reputation on the line when she questions a senior surgeon’s methods.

Watch Now:Apple TV
Heart of Stone
star
7.37
227 votes

#17 - Heart of Stone

Season 4 - Episode 5 - Aired 10/22/2015

When a young motocross rider is diagnosed with Leukaemia, Alex investigates his family secrets.

Watch Now:Apple TV
The Face of the Giant Panda
star
7.37
371 votes

#18 - The Face of the Giant Panda

Season 2 - Episode 5 - Aired 7/23/2013

Alex must become the unlikely advocate for a violent young prisoner brought in to Hope Zion Hospital, while Joel connects with a disfigured refugee and tries to convince Dr. Dana Kinney to come back to operate on him. Meanwhile, a spirit who is familiar to many Hope Zion doctors shows up in the morgue when Charlie is about to do routine procedure.

Directors: Ken Girotti
Writer: John Krizanc
Watch Now:Apple TV
Fearless
star
7.38
176 votes

#19 - Fearless

Season 3 - Episode 17 - Aired 2/11/2015

Alex and Dana try to save a single mother's life; a hockey player's mobility is at stake; Charlie gets advice on winning back Alex; Sydney come clean

Watch Now:Apple TV
Narrow Margin
star
7.38
189 votes

#20 - Narrow Margin

Season 3 - Episode 13 - Aired 1/14/2015

Alex encounters a trapped teenager during a hike in the woods; a woman refuses to see anyone but Joel; an exotic dancer comes to the ER

Watch Now:Apple TV
Twinned Lambs
star
7.38
333 votes

#21 - Twinned Lambs

Season 2 - Episode 17 - Aired 2/20/2014

Buried secrets come to light as Alex treats an elderly patient whose unusual symptoms have her convinced she’s living in a different era. Charlie and Joel get competitive as their patients pit their surgeons against each other. And Maggie agrees to shadow Dr. Kalfas for a surgery, but has to take the reins when complications arise.

Directors: David Wharnsby
Writer: Adam Pettle
Watch Now:Apple TV
Trading Places
star
7.39
193 votes

#22 - Trading Places

Season 3 - Episode 14 - Aired 1/21/2015

Alex and Maggie perform an intricate procedure; Joel thinks his dad is hiding something; Charlie suspects foul-play when he sees a boy and his grandmother

Watch Now:Apple TV
star
7.39
256 votes

#23 - We Need to Talk About Charlie Harris

Season 5 - Episode 14 - Aired 7/6/2017

Alex is challenged about the value of holistic medicine; Charlie's abilities are questioned; two filmmakers go to Hope Zion Hospital

Watch Now:Apple TV
Start Me Up
star
7.39
233 votes

#24 - Start Me Up

Season 4 - Episode 3 - Aired 10/8/2015

Dr. Alex Reid has to juggle her duties as a new mother and a surgeon when she takes a Junior Resident under her wing.

Watch Now:Apple TV
star
7.40
229 votes

#25 - You Can't Always Get What You Want

Season 4 - Episode 14 - Aired 1/21/2016

Alex and Jeremy try to solve a child's mystery illness; Charlie treats an actor; Maggie reaps the rewards of compassionate medicine.

Watch Now:Apple TV