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The Pitt - Hour Three (9:00 a.m.) - Review: That Is How It Works

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The third hour of season two—written by none other than our favorite leading man, Noah Wyle—maintains a slow pace filled with poignant moments, giving us room to prepare for what seems destined to become a hectic shift. 

Episode Summary
Dr. Al-Hashimi and Robby continue to clash over treatment decisions. Test results prove Santos’ theory about an abusive father to be incorrect. Robby connects with a patient through a shared experience. McKay’s diagnosis may hold the key to the end of her patient’s marriage, while another couple faces devastating consequences after an accident.

Cases of the Week
This week, the case of the girl suspected of being a victim of abuse finally reaches a relieving resolution, as test results reveal that her condition has nothing to do with violence of any kind. While the girl is expected to recover, her father’s relationship with his girlfriend has little chance of surviving after he bluntly holds her responsible for failing to properly care for the child. Elsewhere in the ER, another young patient arrives with a pair of colorful beads stuck in his nose. Langdon handles the situation while sharing reflections on fatherhood with the boy’s dad and nurse Donnie.

“9:00 a.m.” – THE PITT, Pictured: Irina Dubova as Yana and Noah Wyle as Robby. Photo: Warrick Page/HBO Max ©2026 Warner Bros. Discovery, Inc. All Rights Reserved.

On another note, Robby treats Yana Kovalenko for a burn caused by her samovar and later discovers that she is a survivor of a synagogue shooting in 2018—a real-life event, sadly—which led her to develop PTSD. This trauma ultimately caused her current injury. They share an emotional moment as they reflect on how long it takes to overcome such experiences, and whether it is truly possible at all. Later, in a lighter exchange, the patient questions her doctor’s motivation for embarking on a motorcycle road trip during his sabbatical.

Michael Williams—McKay’s patient—receives test results revealing a mass in his brain, the nature of which has yet to be determined. Frightened and unsure of what to do, he turns to his doctor for guidance. Soon after, he is visited by his ex-wife, who remains listed as his emergency contact despite their years apart, leading to a tense and emotionally charged encounter. Another couple in a precarious situation is rushed to The Pitt after they crashed their car to a motorcycle whose driver did not survive. From the beginning, there is a sense that tragedy looms: first, Mark’s life is at risk, but just as his condition appears to stabilize, his wife Nancy collapses due to an unnoticed injury. Their fate remains uncertain as the episode ends.

Highlights
While some doctors are largely absent for much of the episode, this allows the focus to shift inward. I appreciated how the emotional weight this time comes less from action and more from the characters themselves. The ER is always charged with feelings, but this episode makes a conscious effort to linger on them—and it works.

Through multiple storylines centered on couples’ dynamics—resembling star-crossed lovers separated not by fate but by illness—we learn that Mr. Williams’ marriage likely ended due to the personality changes he endured, possibly caused by the mass in his brain. In a scene that requires very few words, we understand that Gretchen, his ex-wife, is quietly questioning whether leaving him years ago was the right decision.

“9:00 a.m.” – THE PITT, Pictured: Noah Wyle as Robby and Angela Danfei Lin as Nancy. Photo: Warrick Page/HBO Max ©2026 Warner Bros. Discovery, Inc. All Rights Reserved.

Elsewhere in the ER, after Mark Yee regains consciousness following his accident, he asks Dana to help him record a video message for his wife in which he admits his mistakes—likely referring to the argument they had before the crash, something we learn earlier from a deeply distraught Nancy, who was feeling guilty too. Mark also delivers another reflective moment when he tells Robby how facing death clarifies what truly matters in life.

Character of the Week
The Patients: While the patients at The Pitt are always essential to the story, this episode places them firmly at the center. Their narratives converge around questioning the life choices that brought them to this point, making their experiences deeply relatable.

Final Thoughts
Although the episode opens with an intense scene involving a violent patient, much like the team manages to de-escalate the situation, the story itself slows down, offering an emotionally rich and reflective hour. It serves as a reminder of how vulnerable we are, how quickly everything can change, and how certain experiences can leave permanent marks on our lives.

Did you like the episode? Don’t forget to leave your comments below.

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