The Pitt, up to this point has been quite honest about how heavy things can get when you're working in emergency medicine and have no clue what will come through those doors. So far the audience has gotten time to get familiar with the entire cast, with quite a lot of great development, be it from them getting time to give more context to their character or through really great interactions that reinforce the classic 'show don't tell' rule. On top of that, a lot of emotionally intense buildup hits a climax when one storyline that has been charging up its punch is finally able to release, which has an incredibly powerful and heartbreaking sendoff.
Pair that with this episode's newest crushing storyline which I won't say, but it's easily the most devastating yet. Among the emotional chaos is also an older man who gives the doctors in the room (and the viewer) insight to the ground floor of their entire medical procedure, in a way that feels really natural and not forced. All of this blends really well, but it's the drama of this episode's newest patient that hits the emotional fever pitch that becomes genuinely painful to watch as the episode progresses and the light of hope dims down. Everything just feels so natural: the acting, writing, camerawork, sets, dialogue, everything. The climax of both the newest patient and a patient who has been present since much earlier on both hit you unrelenting force and emotional power that is guaranteed to stick with you for a long time.
To go the distance the writers did and for them to handle it with such tact, is a feat most can't pull off. Meanwhile The Pitt pulled it off as effortlessly as Dr. McKay performed the V-Y Flap procedure. This is the episode where The Pitt went from great to a special piece of art.
And this isn't even the best episode yet.
