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The Pitt Season 1, Episode 7, 1:00 P.M., premiered on Max on Thursday, February 13, 2025, at 9 PM ET. As the shift reaches its halfway point, tensions in the ER are higher than ever. Dr. Robby is spiraling, snapping at his colleagues as his past trauma continues to haunt him.
Dr. Santos finally proves her worth, but in a way that crosses a serious ethical line. Mel King shines in a tough case involving an autistic patient. Meanwhile, Dr. Collins' personal tragedy delivers a gut punch in the final moments. This episode leaves everything in chaos heading into episode 8.
While the rest of the ER deals with life-or-death cases, Dr. Mel King gets a chance to prove why she belongs. When a young man named Terrance arrives with a sprained ankle, Dr. Langdon immediately writes him off as “Dr. Google”—a know-it-all patient who tries to self-diagnose. But Mel realizes something Langdon doesn’t: Terrance is autistic.
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She immediately adjusts the room for him, dimming the lights and reducing noise to make him feel comfortable. She talks to him on his level, gaining his trust, and walks him through every step of his treatment. When Langdon returns, he sees the difference in how Terrance responds to Mel compared to him. At first, he’s shocked, but by the end, he praises her, saying she’s making a great first impression.
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It’s a rare moment of positivity in an otherwise heavy episode, but it also highlights what makes Mel different from the others. She doesn’t just treat patients—she connects with them.
The Pitt season 1 episode 7: Robby’s trauma is making him unbearable to everyone around him
Dr. Robby has been on edge all day, but by 1:00 PM, his patience is completely gone. Between Gloria breathing down his neck about hospital management, a flashback of his mentor dying on ECMO, and the overwhelming workload, he’s barely holding it together.
He snaps at Dr. Collins for calling him out, berates Dr. Mohan for going over his head on a patient, and is flat-out cruel to Dr. Santos, who has been struggling to regain confidence after her past mistakes. Even Dana, who has known him the longest, warns him he’s not himself today.
The worst moment comes when Dr. Mohan follows her gut on a patient—an influencer whose neurological symptoms don’t add up to a psychiatric issue. Robby wants her to stop wasting time, but Dr. Collins encourages her to dig deeper. When tests confirm mercury poisoning, Robby loses it.
He yells at Mohan and Collins, telling them to stay in their lane. The shift is only getting harder for him, and his grief over Dr. Adamson’s death is clouding his judgment. Everyone can see it, but Robby refuses to slow down. He’s spiraling, and at this rate, it’s only going to get worse.
The Pitt season 1 episode 7: Dr. Santos confronts a child predator in the most unorthodox way possible
One of the most unsettling cases of the episode involves Silas Dunn, a man admitted with injuries from falling off a ladder. While treating him, Dr. Santos notices something strange—he has enlarged breast tissue, which isn’t typical for someone in his condition.
When she questions his wife, Susan, she drops a disturbing revelation: she’s been secretly drugging her husband with progesterone to lower his sex drive because she believes he’s molesting their teenage daughter, Alana.
Santos immediately goes to Dr. Robby and Kiara, hoping to alert the authorities, but legally, they can’t do anything unless Alana herself reports it. Instead, the only person they are required to report is Susan, for drugging her husband. Furious at the system’s failure to protect victims, Santos tries to get Alana to open up, but the teenager denies everything. So, Santos takes matters into her own hands.
In one of the most intense scenes of the series, she goes into Silas’ room while he’s intubated and awake but unable to move. She tells him she knows exactly what he’s been doing, and she lays out every step of the kind of abuse he’s committing—things only a survivor would know.
Then, she gives him a choice: blink twice if he promises to stop or blink once if he doesn’t, in which case she’ll make sure he never leaves the hospital alive. He blinks twice. Santos leaves with a chilling smile, knowing she’s scared him more than the law ever would.
The Pitt season 1 episode 7: Dr. Collins' storyline ends in heartbreak and a devastating cliffhanger
For most of The Pitt Season 1 episode 7, Dr. Collins is caught in the middle of Kristi and Eloise’s abortion dispute. Kristi, a teenager who doesn’t want to have her baby, locks herself in a bathroom at the start of the episode. Robby eventually gets her to come out, promising her a private space away from her mother.
While Eloise refuses to listen at first, Collins sits her down and lays it out: if she forces her daughter to have this baby, she might lose her forever. This conversation changes everything, and Eloise reluctantly agrees to let Kristi take the abortion pill.
But when it seems like Collins is having a rare personal victory, the show drops a brutal twist. Throughout the episode, she’s been experiencing sharp stomach pains but hasn’t told anyone. Then, in the final minutes, she rushes to the bathroom and sees blood in her underwear.
The realization hits her immediately—she’s having a miscarriage. She lets out a silent, gut-wrenching cry, completely alone in her pain. The Pitt Season 1 episode 7 ends without showing what happens next, but it’s clear that next week, Dr. Collins won’t be a doctor—she’ll be a patient.
The next episode of The Pitt Season 1 Episode 8 titled 2:00 P.M., is scheduled to premiere on Thursday, February 20, 2025. You can catch it on Max at 9 PM Eastern Time.
