Catherine pressures Bailey to make a decision about Alex. Meanwhile, Amelia deals with a challenging ER case on an already difficult day; and a familiar face makes a return appearance at the hospital, surprising several of the doctors.
Alex attempts to do the right thing, but he finds no respite. Meanwhile, Jackson and April adapt to parenthood; Meredith and Nathan acknowledge their burgeoning relationship; and Amelia has questions about her new marriage.
Alex faces consequences for his actions. Meanwhile, Meredith ponders where her loyalties lie; Amelia and Owen have a dinner party with surprising guests; and Jackson has an idea for how to assist April as she recovers.
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