Chicago Med season 7 finale ending explained (SPOILERS)

Chicago Med pulled out all the stops for the season 7 finale. There was a head-spinning array of subplots involving the main characters, and a cliffhanger that left the lives of two doctors hanging in the balance.

Of course, we don’t want to get ahead of ourselves and shortchange the rest of the episode. Let’s go back to the top of the hour and rehash every little detail that occurred during the wildly intense, show-stopping ending that was “And Now We Come to the End”.

Be warned that the rest of the post contains detailed spoilers for the latest episode of Chicago Med!

Chicago Med season finale recap

The episode kicks off with Dr. Scott (Guy Lockard), who get tasked with treating a patient who has already been established as an undercover cop. She fears that her cover has been blown, and can’t trust anybody on the precinct to submit the evidence she’s collected. Scott vouches for his father, and the undercover cop agrees to play ball.

Elsewhere, Dr. Halstead (Nick Gehlfuss) and Asher (Jessy Schram) clash on how they should treat a patient who’s desperately in need of a transplant. Halstead thinks the transplant should go ahead as planned, but Asher is reluctant because the donor is the patient’s girlfriend– a girlfriend he plans on dumping.

The topic of fractured relationships also leads to some reflection on the part of the doctors, given their complicated past together. Ultimately, they reach a compromise in which the girlfriend is told the truth and left to decide whether she wants to go through with the transplant (she does).

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Complicated relationships is a good segue to bring us to Marcel (Dominic Rains) and Pamela Blake (Sarah Rafferty). The latter has been struggling with feeling in her hands, and reluctantly agrees to go under the knife in an attempt to fix the problem. She gives Marcel power of attorney, meaning that whatever happens to Blake during the surgery, Marcel can decide what should be done in her best interest.

This leads to some tension with Blake’s daughter, Avery (Johanna Braddy), who not only harbored romantic feelings for Marcel early on, but now harbors feelings of betrayal since her mother took power of attorney away from her.

Sure enough, there’s a complication during Blake’s surgery, and Marcel is left to prioritize her life over the feeling in her hands. Blake makes it through the operation in one piece, but it seems as though she suffered a stroke, and realizes that her sense of touch is worse than ever. Yikes.

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While that may serve as the dramatic low point of the episode, there’s a high point involving Dr. Goodwin (S. Empatha Merkerson). Her pregnant daughter gives birth, quite suddenly, while the two of them are at a restaurant, and while the location is unconventional, the birth is a success.

We then come back full circle to Dr. Scott’s case. He allows the undercover cop to hide out at Dr. Halstead’s apartment building, but an unexpected confrontation with a criminal leads to a huge fire. Scott shoots the criminal before he can kill the undercover cop, but him and Halstead are left trapped in the building while the entire thing gets ensconced in flames. Then the episode ends…

It’s a devastating way to wrap up season 7, but we’d be lying if we didn’t say it was one of the most exciting cliffhangers the show has ever had. We can’t wait to see what happens next year!

For the latest Chicago Med season 7 spoilers and news, plus more on the entire series, follow the Chicago Med category at One Chicago Center.