The WORST episodes of St. Denis Medical

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

An eclectic group of underfunded yet dedicated doctors and nurses navigates caring for patients — and each other — while keeping it all together at an Oregon hospital.

Last Updated: 11/22/2025Network: NBCStatus: Continuing
Two Docs, One Conf
star
6.88
64 votes

#1 - Two Docs, One Conf

Season 2 - Episode 4 - Aired 11/17/2025

Ron and Bruce butt heads at a medical conference. Joyce tries to show her nurses some love for Nurse Appreciation Week.

Watch Now:Amazon
Welcome to St. Denis
star
7.07
325 votes

#2 - Welcome to St. Denis

Season 1 - Episode 1 - Aired 11/12/2024

Alex is torn between her daughter's school play and an "all-hands" situation in the Emergency Department. Joyce spends the hospital's limited funds on a fancy mammography machine. Matt's first day as a nurse isn't going as he'd hoped.

Directors: Ruben Fleischer
Watch Now:AmazonApple TV
Anything to Push Zaluva
star
7.08
130 votes

#3 - Anything to Push Zaluva

Season 1 - Episode 16 - Aired 4/1/2025

Ron's teasing makes Joyce question whether her friendship with a pharmaceutical rep is genuine. Alex has trouble letting Serena take on a new task. Matt finds a mentor in Bruce.

Watch Now:Amazon
A Very Robust Personal Life
star
7.13
250 votes

#4 - A Very Robust Personal Life

Season 1 - Episode 2 - Aired 11/12/2024

Joyce's belief that personal life should stay out of the workplace is tested by unexpected news. Ron thinks a patient has a crush on him. Bruce tries to demonstrate the value of his important work.

Directors: Ruben Fleischer
Watch Now:Amazon
Get Me in the Pod, Brother
star
7.17
87 votes

#5 - Get Me in the Pod, Brother

Season 2 - Episode 3 - Aired 11/10/2025

Alex and Ron spar over the wisdom of open communication. Joyce brings in a body scanner that proves overly distracting.

Watch Now:Amazon
A Peanut and Caramel-Filled Miracle
star
7.18
191 votes

#6 - A Peanut and Caramel-Filled Miracle

Season 1 - Episode 5 - Aired 12/3/2024

Ron and Bruce butt heads over a candy bar. Alex is forced to fire an incompetent employee. Matt seeks appreciation for saving a patient's life.

Directors: Matt Sohn
Watch Now:Amazon
Mama Bear Activated
star
7.20
90 votes

#7 - Mama Bear Activated

Season 2 - Episode 2 - Aired 11/3/2025

After Bruce is attacked at the hospital, Matt helps him deal with the aftermath; Alex motivates Joyce to amp up security, while Ron and Serena debate who is more qualified to defend themselves.

Watch Now:Amazon
Bruce-ic and the Mus-ic
star
7.20
123 votes

#8 - Bruce-ic and the Mus-ic

Season 1 - Episode 17 - Aired 4/22/2025

At the annual fundraiser, Alex and her husband, Tim, try to have a wild, kid-free night. Ron and Joyce butt heads over hosting duties. Bruce sets out to win this year's "Dancing with the Caregivers" competition.

Directors: Trent O'Donnell
Watch Now:Amazon
Salamat You Too
star
7.24
210 votes

#9 - Salamat You Too

Season 1 - Episode 4 - Aired 11/26/2024

Alex accidentally provokes the Emergency Department's mean girls. Ron and Serena battle over parking etiquette. Bruce has a hard time letting go of the spotlight.

Directors: Jason Woliner
Watch Now:Amazon
Sometimes It's Good to Be Cautious
star
7.24
130 votes

#10 - Sometimes It's Good to Be Cautious

Season 1 - Episode 15 - Aired 3/25/2025

Bruce and Alex give conflicting medical advice to a young athlete. Joyce competes with Tiger Woods in her alumni magazine. Matt and Serena (almost) drop an unconscious patient.

Directors: Heather Jack
Watch Now:Amazon
Weird Stuff You Can't Explain
star
7.26
230 votes

#11 - Weird Stuff You Can't Explain

Season 1 - Episode 3 - Aired 11/19/2024

When Ron hexes the day to prove superstitions aren't real, things at the hospital start getting weird. Joyce and Matt discover an employee's secret.

Directors: Matt Sohn
Writer: Hunter Toro
Watch Now:Amazon
Nobody Even Mentions the Brownies!
star
7.26
157 votes

#12 - Nobody Even Mentions the Brownies!

Season 1 - Episode 11 - Aired 2/11/2025

Joyce pushes the staff to upsell patients on hospital procedures, kicking off some fierce competition and a case of mistaken identity. Bruce and Ron try to play plumber for a day.

Directors: Heather Jack
Watch Now:Amazon
People Just Say Stuff Online
star
7.26
155 votes

#13 - People Just Say Stuff Online

Season 1 - Episode 10 - Aired 2/4/2025

Ron's bedside manner earns him a complaint from a frustrated patient. Alex insists an unflattering online review was not about her. Bruce confronts his high-school bully.

Directors: Ken Whittingham
Watch Now:Amazon
50 CCs of Kindness
star
7.27
179 votes

#14 - 50 CCs of Kindness

Season 1 - Episode 7 - Aired 1/14/2025

Ron mocks Alex and Matt's attempts to resolve a conflict between two prison inmates who stabbed each other in a gang fight. Serena helps Bruce address his fear of needles. Joyce finds herself smitten by the burly prison guard.

Directors: Christine Gernon
Watch Now:Amazon
Gimme the Scuttlebutt
star
7.28
169 votes

#15 - Gimme the Scuttlebutt

Season 1 - Episode 8 - Aired 1/21/2025

An "intimacy in the workplace" discussion leads Joyce to discover she's out of the loop on office gossip. Alex gets self-conscious about her sex life. Bruce tries to fight a new policy about dating co-workers.

Directors: Shahrzad Davani
Watch Now:Amazon
Aloha, Everyone
star
7.32
97 votes

#16 - Aloha, Everyone

Season 2 - Episode 1 - Aired 11/3/2025

Alex tries to hold on to her peaceful vacation vibes; Joyce faces a design crisis in the birthing center; Matt and Serena reassess their working relationship.

Watch Now:AmazonApple TV
Listen to Your Ladybugs
star
7.36
129 votes

#17 - Listen to Your Ladybugs

Season 1 - Episode 14 - Aired 3/11/2025

Joyce launches a women's health initiative to unexpected results; Ron treats a patient who has all the answers. Bruce has an existential crisis.

Directors: Bill Benz
Watch Now:Amazon
You Gotta Have a Plan
star
7.37
160 votes

#18 - You Gotta Have a Plan

Season 1 - Episode 9 - Aired 1/28/2025

Joyce asks Alex to be the executor of her estate. Matt and Serena are forced to keep watch over a bickering family. Bruce grapples with unexpected DNA test results.

Directors: Bill Benz
Watch Now:Amazon
Some Famous Internet Guy
star
7.38
142 votes

#19 - Some Famous Internet Guy

Season 1 - Episode 13 - Aired 2/25/2025

When a famous musician's performance at the hospital is delayed, Joyce throws an impromptu talent show with the St. Denis staff. Alex attempts to connect with her daughter, Ella.

Directors: Phil Traill
Writer: Dan White
Watch Now:Amazon
This Place Is Our Everything
star
7.49
138 votes

#20 - This Place Is Our Everything

Season 1 - Episode 18 - Aired 4/29/2025

A storm causes chaos in the Emergency Department. Alex is torn between an obligation to her husband and her co-workers' needs. Joyce goes on a spending spree with found money.

Directors: Jeffrey Blitz
Writer: Eric Ledgin
Watch Now:Amazon
Ho-Ho-Hollo
star
7.51
187 votes

#21 - Ho-Ho-Hollo

Season 1 - Episode 6 - Aired 12/17/2024

It's the holiday season at St. Denis. Alex and Ron care for a patient whose diagnosis is not what it seems. Joyce enlists Serena's help to boost St. Denis' online presence. Bruce and Matt help a Santa in need.

Directors: Heather Jack
Writer: Kyle Mack
Watch Now:Amazon
Buffalo Bruce and Matty the Kid
star
7.56
154 votes

#22 - Buffalo Bruce and Matty the Kid

Season 1 - Episode 12 - Aired 2/18/2025

An emotional support animal is loose in the halls of St. Denis. Alex goes big for Serena's birthday to mixed results.

Directors: Heather Jack
Watch Now:Amazon