Chicago Med season 5 finale predictions: What will happen?

What’s going to happen in the Chicago Med season 5 finale? Check out our predictions for how the season ends in Chicago Med season 5, episode 20.

The Chicago Med season 5 finale is here, more than a month ahead of schedule. So what does that mean for the series? How exactly is the fifth season going to wrap up, without its originally planned wrap-up?

Wednesday’s episode “A Needle in the Heart” is the season finale, but it was never intended to be the last installment. Rather, this was the last episode filmed before production shut down due to the coronavirus pandemic, so it’s become the conclusion to a hectic season.

That changes things, because plotlines may be left hanging. Questions may be posed here that were meant to be answered in the three episodes that were not filmed. Or conversely, fans may see something in this episode that they love, and know it might not last. How is it all realistically going to shake out?

See our predictions for the season finale below, then tune in to the episode Wednesday to find out what happens.

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1) Choi will survive, but Chexton will not

Dr. Ethan Choi (Brian Tee) ends up in a life-threatening situation during this episode, and NBC‘s promo would like One Chicago fans to think that he might die. That’s incredibly unlikely, though, because there’s no indication that Choi is being written out of the show, and zero reason to even consider that.

With the emphasis on Chexton this season, Choi is one-half of Chicago Med‘s biggest romantic pairing, and ships are the show’s largest commodity. That also means Tee has become the male lead of the show with all that extra screen time. Killing off Choi would be wrecking the season.

However, don’t expect that the crisis is going to make everything okay for him and his now ex-fiancee April Sexton (Yaya DaCosta). The situation might start to repair their broken relationship, but since there were supposed to be three other episodes after this, the Chicago Med writers were probably planning on dragging that out longer. It wouldn’t make a lot of sense to have them reconcile right after he told her to move out.

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2) Natalie and Crockett will have a “moment”

The other main story in this Chicago Med episode involves Dr. Crockett Marcel (Dominic Rains), as he faces questions about his past. That gets even more interesting when you notice that the only doctor NBC didn’t mention in the official synopsis was Dr. Natalie Manning (Torrey DeVitto). Since she’s not mentioned in any other storyline, it’s pretty clear that she’ll be somehow involved in the Crockett plotline.

With producers teasing a possible romance between the two, this episode will start to sow the seeds for it. Natalie’s going to learn something else about Crockett that will continue to change her opinion about him. And as for Crockett, if Natalie’s there when he’s going through this tough time, that’s an easy way for the writers to start to push him in her direction, too.

Again, this is probably something that was going to pay off later in the season, but expect at least one or two hints about Crockett and Natalie to come out of this episode.

3) Chicago Med season 5 won’t feel finished

Everyone’s been buzzing about what effect the shortened season will have on the One Chicago shows creatively. And of the three, Chicago Med is the most likely to feel an effect, because of how much it usually leaves unfinished at the end of every episode. From its ongoing relationship dramas, to plot twists that pop up with a certain regularity, this show’s storytelling is the most serialized of the franchise.

So while this should still be a fine and entertaining episode to watch, don’t expect it to give you a sense of closure. That’s not what it was written for—it was written to keep adding drama to the storylines of Chexton et al. leading up to the actual finale. As long as you go into Wednesday knowing that, though, then you shouldn’t be disappointed.

For the latest Chicago Med season 5 spoilers and news, plus more on the entire series, follow the Chicago Med category at One Chicago Center.