Grey’s Anatomy

It will total as no surprisal to devout viewers that more than a fewGrey ’s Anatomydoctors have almost chuck up the sponge medicine after losing a affected role . While Grey Sloan Memorial may confront a perpetual staffing famine , the infirmary is never short on drama — or life - altering moments . Across 19 seasons , the team has weathered lot of disaster , both in person and professionally , leading some doctor to ( almost ) call it take leave .

From Derek Shepherd ’s ( Patrick Dempsey ) memorable season 5 release to Addison Montgomery ’s ( Kate Walsh ) more recent wrestling with reproductive wellness justice , Grey ’s Anatomycontinuously pushes its doctors to their separate points . Although former serial lead Meredith Grey ( Ellen Pompeo ) has stepped away from the spot , it ’s unclouded that the record - breaking medical play will keep challenging its doctors inGrey ’s Anatomyseason 20 — suggesting it ’s not always a great day to preserve lives .

10Derek Shepherd

" There ’s this thing that happens when mass find out out you ’re a doctor . They block off see you as a person and set out to see you as something bigger than you are , " Meredith explicate in the opening voiceover ofGrey ’s Anatomyseason 5 installment 16 . " They have to see us that way , as gods , otherwise we ’re just like everyone else . " And " An Honest Mistake " shows that even far-famed neurosurgeon Derek Shepherd make aliveness - altering blunders .

After Derek causes a serial of complications during a pregnant patient role ’s first surgery , he argue with Addison Montgomery about the dear course of action for Jen , who experiences mini - strokes and aphasia . Addison warn Derek about playing god , but he continually dismisses her recommended C - segment . Instead , Derek removes big chunks of Jen ’s mentality in a frenzy , determined to save female parent and tike . Jen ’s eventual demise marks the start of Derek ’s depressive episode , induce him to query both his career and pending proposition to Meredith .

9Levi Schmitt

DuringGrey ’s Anatomyseason 18 , Grey Sloan Memorial grapples with ( another ) staffing shortage . This time , however , the COVID-19 pandemic ’s impact on health care worker is to fault . so as to alleviate the hiring stress , allow for an fair to middling number of surgical process , and give residents more OR time , Richard Webber ( James Pickens Jr. ) propose a new approaching to how the residency program operates : the Webber Method .

In possibility , the Webber Method countenance residents to execute unsupervised everyday function ( or part of surgeries ) and then pulls an attending into the OR to treat the trickier parts . Miranda Bailey ’s ( Chandra Wilson ) misgivings are prove true when Levi Schmitt ( Jake Borelli ) chooses to keep without an attention . Levi ’s affected role phlebotomise out , guide to an investigation of the residence programme . However , after leaving the infirmary for a time , Dr. Schmitt tax return as Chief Resident onGrey ’s Anatomy .

8Maggie Pierce

Much like her sister , Meredith , cardiothoracic operation prodigy Maggie Pierce ( Kelly McCreary ) has see exceptional losses . Shortly after Maggie lose her mother to breast malignant neoplastic disease , she and Jackson Avery ( Jesse Williams ) break up , leading to some complicated family kinetics between the two and their now - espouse parents , Richard and Catherine ( Debbie Allen ) . To get through it all , Maggie focuses on surgery — and that ’s when she meets her cousin-german , Sabrina " Sabi " Webber ( Crystal McCreary ) .

Sabi is Richard ’s niece — someone he never mentioned to Maggie because of the unsound blood between him and his brother , Sabi ’s founding father Chris . After forming a debauched friendly relationship with Sabi , Maggie hopes to vivify the brothers ' relationship and encourages her to go through with OR , even though Chris has reservation . When Sabrina rally short , Maggie rush along to preserve her , but an alarming issue of clots clog Sabi ’s electrical shunt machine . After losing Sabi , an inconsolable Maggie quits — and , to top it off , Chris litigate her for aesculapian malpractice .

7Izzie Stevens

When Izzie Stevens ( Katherine Heigl ) falls for Denny Duquette Jr. ( Jeffrey Dean Morgan ) , it is n’t the first ( or last ) clip a Dr. embark on a rather incompatible relationship . diagnose with viral cardiomyopathy , Denny is admitted to the infirmary ahead of a ticker organ transplant procedure . It ’s Izzie , the resident Denny has dally with during his stay , who tell him the operation wo n’t chance . later on , though , Denny recall — this time in heart nonstarter .

After Denny stabilizes , Preston Burke ( Isaiah Washington ) resolve to stick in an LVAD — a gadget that supplant part of a break down heart — to give Denny more time while awaiting a new heart donation . When yet another organ giver falls through , Izzie claims Denny is worsening and cuts his LVAD telegram to further fool UNOS . While this bit of malpractice does plug Denny a newfangled heart , he break down of a post - op stroke . Although the loss wreck Izzie , she opens a clinic in Denny ’s remembering . Even though Izzie resile , she probably should ’ve been forced to cease medicine .

6Jackson Avery

In season 15 ’s " With a Wonder and a Wild Desire , " Jackson state Maggie he ’s fine with April Kepner ’s ( Sarah Drew ) new and sudden marriage ; to him , April ’s disconnected option is tied to her faith , something he ’s come to admire . Distracted , Jackson is almost hit by a car , but Andrew DeLuca ( Giacomo Gianniotti ) pulls him out of damage ’s means . Bike rider Nisha is hit instead , convincing a very driven Jackson to believe he was spared for save Nisha ’s life .

Although Nisha ’s first OR goes well , complicatedness uprise in the following episode . Without hold off for Link ( Chris Carmack ) , the patient role ’s chief surgeon , a intention - ride Jackson belt along Nisha to the infirmary ’s fresh hyperbaric chamber . believe the oxygen - productive surround will get a better surgical outcome , Jackson brush aside the fact that , once pressurized , the chamber ca n’t be straightaway opened . After Nisha flatlines , an umbrageous Jackson performs CPR for 35 minutes . This incident is one of many that pushes Jackson to step back from surgical procedure briefly .

5Ben Warren

Jason George is one of severalStation 19actors who appeared onGrey ’s Anatomybefore the firehouse - set series debuted . A key crossover character , the fire - fight down Ben Warren once worked at Grey Sloan Memorial Hospital , even becoming a aesculapian resident . During his residency , Ben makes some badly - advised conclusion ; he fashions a makeshift scalpel out of a clipboard for an emergency surgery , thus inflating his ego and putting his superiors on high alert .

A few episodes later , the hospital is on lockdown , and Ben performs what he deems to be a necessary emergency C - department . Using the meager crash pushcart supply he has access to in a infirmary hallway , Ben considers himself a hero . Pearl Mae Bailey and Webber , meanwhile , view as him reckless ; surety footage reveals an open lift , meaning Ben take an unnecessary risk . Although Ben does n’t miss his license , these events are a kind of breakage pointedness that pushes him to pursue an entirely new career .

4Miranda Bailey

A dear mentor , top - snick operating surgeon , and , more often than not , the glue holding Grey Sloan together , Miranda Bailey is n’t one to quit anything . Still , a fewGrey ’s Anatomymoments have pushed Bailey to her limit . Notably , in season 9 , three of Bailey ’s patients develop post - op infection , which alarms the Centers for Disease Control and Prevention ( CDC ) enough for a full investigation of the infirmary .

After the CDC ’s findings suggest that Bailey was contaminated with MRSA , thus leading to the three post - op fatalities , Bailey goes into shock . Evidently , the hospital ’s replacement stock of surgical mitt contributed to the transmission , since they were full of micro - tears . Even so , Bailey screen herself repeatedly for MRSA and decline to operate . The incident also triggers her latent ( and then - undiagnosed ) obsessive - driven disorder ( OCD ) , cause a restitution to the OR even more hard .

3Taryn Helm

For many time of year , fans have been askingGrey ’s Anatomyto do Taryn Helm justice ; Jaicy Elliot ’s occupant - turned - mixologist has been exclusively defined by her unrequited compaction on Meredith Grey . But whenGrey ’s Anatomydecided to cover the real - mankind encroachment of the COVID-19 pandemic on healthcare prole , Helm ’s history expand a flake . With elected surgeries on hold , Helm and the other residents were tasked with caring for COVID patients , which take a literal toll on her .

Not only was Helm ’s idol , Meredith , in a COVID - induced coma , but the hospital was experience unprecedented losses every day . feel separated and discharge , Helm expressed her desire to step away from the aesculapian world . finally , the temporary closing of Grey Sloan ’s residency program made the conclusion for her . While the conclusion of season 19 see Helm return to the OR , it ’s percipient that the untold pandemic losses form her , both personally and professionally .

2Addison Montgomery

In late season , Grey ’s Anatomyproved time and again that it was n’t afraid to harness difficult real - globe subject . time of year 19 sequence 5 is one such lesson : Addison returns toGrey ’s Anatomyand joins Bailey on a trip . The self - described " aesculapian Thelma and Louise " chatter a friend of Bailey ’s who runs an understaffed family - planning clinic on the Washington - Idaho perimeter . In Idaho , miscarriage services have become illegal , lead to an inflow of patients in the neighboring clinic .

" When I Get to the mete " takes another turn when Susan , a pregnant woman living in Idaho , ca n’t reach the care she so desperately needs . Bailey and Addison drive across land lines to retrieve Susan , who ’s faced with a life-time - imperil ectopic pregnancy that all of her Idaho - based doctors are too nervous to help with , given the country ’s restrictive novel law . When Susan get going bleed out in the cable car , Addison ca n’t save her . An cheesed off Addison seems exhaustively defeated at first , but the fugitive despair turns into new resolve .

1Penelope Blake

Although Penny fights for the head CT — and Derek ’s life — she , ultimately , return in . Later , it takes Dillard ’s brain surgeon an excessive amount of time to arrive ; he suggest a head CT would ’ve commence him there sooner , only augmenting Penny ’s guilt and frustration . When Derek dies in one ofGrey ’s Anatomy ’s most shocking twists , Meredith tells a broken cent that , although she ’ll never leave Derek , Penny ca n’t stop being a operating surgeon because of one outcome . Although both Penny and Meredith retain to practice medicine , mislay Derek push Meredith to leave Grey Sloan — and her life — for a year .

Grey’s Anatomy Poster

Collage of Levi Schmitt, Jackson Avery, Meredith Grey and Maggie Pierce from Grey’s Anatomy.

Addison Montgomery and Derek Shepherd talk in Grey’s Anatomy

Levi Schmitt breaks down while explaining a patient’s death in Grey’s Anatomy

Maggie Pierce and Sabrina Webber in Grey’s Anatomy

Izzie Stevens hugging Denny as he dies in Grey’s Anatomy.

Jackson Avery looks upset in Grey’s Anatomy

Ben Warren and Gretchen McKay during the code pink on Grey’s Anatomy

Miranda Bailey with a worried look in the OR in Grey’s Anatomy

Taryn Helm looks down hallway in Grey’s Anatomy

Addison Montgomery walks by anti-abortion protesters in Grey’s Anatomy season 19

Penny Blake in Grey’s Anatomy closeup