The Pittrightfully garnered accolades in its groundbreaking first season, setting it apart from other medical dramas, but those other medical dramas, likeGrey’s Anatomy,can still do one thingThe Pittcan’t.Long before the upcomingGrey’s Anatomyseason 22, the drama became the longest-running American medical show in history. The groundbreaking ’90s dramaERpreviously held the record, but at 466 episodes and counting throughGrey’s Anatomyseason 21, it has easily beatenER’s total of 331 episodes and 15 seasons. The crown was passed from the doctors of the County General Hospital to the doctors of Grey Sloan Memorial Hospital six seasons ago.
Just like its predecessor,Grey’s Anatomyhas built up a loyal and long-term fanbase who lives for the twists and turns of the show. Their investment in the drama that befalls thecharacters ofGrey’s Anatomyis what has powered the show’s unprecedented run among its peers in the medical drama space. Yet, that investment would never happen in the first place ifGrey’s Anatomydidn’t give its viewers exactly what they want. While not every narrative decision has been met with cheers, the show’s sometimes infuriating and sometimes heartbreaking decisions are just as important as the high points. It’s that ethos of leaving fans wanting more that has madeGrey’s Anatomyso successful, the best current medical drama at this balancing act – and maybe even the best to ever do it.
Grey’s Anatomy Has Built Its Show On Cliffhangers & Epic Finales
Even This Season Ended On A Cliffhanger
Heading into season 22 and still going strong,Grey’s Anatomyhas been on TV for over two decades for a reason. Like any long-running network drama, actors and characters have come and gone, with a few key characters who have been there from the start defining the show: Meredith Grey (Ellen Pompeo), Miranda Bailey (Chandra Wilson), and Richard Webber (James Pickens Jr.). Those three characters, and a few other longtime veterans of the series, have weathered the storms of Grey Sloan Memorial Hospital, where there are highs, but plenty more heartbreaking lows.
It’s exactly those peaks and troughs that keep audiences coming back season after season.Grey’s Anatomyhas trained audiences to expect plenty of plot twists and shocking reveals. While those are sprinkled throughout each season, the medical show leans heavily on the “melo” part of melodrama. It opens the door for some truly unforgettable season finales that often include those unexpected cliffhangers. Who could forget, for example, the season 5 finale of the John Doe being hit by a bus, only for theGrey’s Anatomyseason 6 premiere to reveal it was actually T.R. Knight’s George who had died? Even this season,Grey’s Anatomyseason 21, ended on a cliffhanger finale.
The Pitt’s Nature Means It Can’t Have That Many Cliffhangers
Real Life Doesn’t Have That Many Left-Field Twists
Grey’s Anatomywill always handle its cliffhangers and twists far better thanThe Pitt, simply becauseThe Pittdoesn’t really do them at all. It can’t; that’s not the nature of HBO Max’s new medical drama, which is a pure drama as opposed toGrey’s Anatomy’s melodrama. That’s not to say that its first season didn’t throw any curveballs, like the revelation that Dr. Langdon has a substance abuse problem.The Pittseason 1 finale also left open-ended questionsfor next season to answer, such as whether charge nurse Dana Evans will return after seemingly being ready to hang it up.
The developments inThe Pittseason 1 weren’t genuine twists and mysteries, but the logical end result of narratives that had hints carefully seeded throughout the season if you were paying attention.
However, the developments inThe Pittseason 1weren’t genuine twists and mysteries, but the logical end result of narratives that had hints carefully seeded throughout the season if you were paying attention. While the Langdon reveal may have been shocking, there were tells all throughout the episodes leading up to the revelation that he had been stealing drugs: the multiple references to his impulse control issues, his jittery, self-proclaimed “ADHD” nature, the fact that his temper was at times incredibly short, etc. It was all there for the audience to pick up on. It wasn’t a twist, but a great example of seamless “show, don’t tell” character development.
That’s not to sayThe Pittisn’t gripping: it is. In fact, it’s one of the most gripping shows in recent memory thanks to its ultra-realism and grounded, no-frills storytelling. Its very nature rejects cliffhangers and shocking plot twists that come out of left field.The Pitt’s castand crew have been vocal about the fact they wanted it to be the most realistic medical show ever. Real life very rarely has the sort of implausible surprises that are threaded all throughoutGrey’s Anatomy,and neither doesThe Pitt. It’s a refreshing take on the well-worn medical drama genre, but for those who like their dramas a little less realistic and a little more melodramatic, you won’t find what you’re looking for in its runtime.
Both Grey’s Anatomy & The Pitt Showcase The Range Of The Hospital Drama Genre
The Genre Is Thriving More Than Ever
The beauty of being in an era where bothGrey’s Anatomyexists as the current reigning grand dame of medical dramas andThe Pittsmashes records in its freshman outing is that we now get the benefit of both. Many network hospital shows have tried to beGrey’s Anatomy, and they’ve all failed. Likewise, streamers tried to tout their new medical dramas as a rival toThe Pittand were resoundingly rebuffed.Grey’s AnatomyandThe Pittmay be wholly different in terms of tone and focus, but each excels at being exactly the show it’s meant to be.
Their existence shows that there is plenty of space in the sometimes crowded genre for shows to succeed if they know what they are and stay true to that vision. The compare and contrast of the two series, rather than highlighting the flaws in either show, instead highlight the scope of what’s possible. There’s an opportunity to tell countless stories in countless ways in the hospital drama genre, withGrey’s AnatomyandThe Pittanchoring the opposite ends of the spectrum – and one could even throwDoctor OdysseyandSt. Denis Medicalin there, too, two other freshman shows that carved out their own niches with a fresh take. WithGrey’s AnatomyandThe Pittleading the way, the hospital show is thriving in ways old and new.
Grey’s Anatomy
Cast
Grey’s Anatomy is a medical drama series revolving around surgical interns, residents, and attendings at the fictional Grey Sloan Memorial Hospital. The show features the professional and personal lives of these medical professionals, led initially by Dr. Meredith Grey, played by Ellen Pompeo. Created by Shonda Rhimes, the series highlights the complexities of medical cases while delving into the interpersonal relationships among the hospital staff.
The Pitt
The Pitt is a gripping drama set in Pittsburgh’s Trauma Medical Center, where dedicated staff tirelessly work to save lives in a busy and underfunded emergency department. Released in 2025, the series highlights the challenges and relentless efforts of medical professionals in a high-pressure environment.
