As the clock ticks down to the Chicago Med season 10 finale, we should all be worried about what's to come in the last episode, especially after the showrunner's recent comments. The NBC medical drama, created by Dick Wolf and Matt Olmstead, follows the lives of the doctors and nurses at Gaffney Chicago Medical Center. Over the course of Chicago Med's 10 seasons, the characters have faced many obstacles, some more thrilling and frightening than others. Unfortunately, it sounds like they are about to undergo even more hurdles in the finale.

Even though NBC hasn't renewed Chicago Med for season 11 as of the writing of this article, fans should expect to see all the One Chicago shows coming back for the 2025–2026 TV season.

Season 10's fall finale ended with devastating cliffhangers, and it appears as if the overall finale (which premieres in late May) will follow suit. As many will recall, Chicago Med season 10, episode 8 left viewers with more questions than answers, the most pertinent being whether Sharon Goodwin would die. Dean Archer's fate at Gaffney was also up in the air. Thankfully, the next episode (which aired two months later) resolved the cliffhangers, revealing that Goodwin survived and Archer decided to stay at the hospital. However, fans should expect another torturous wait, given the teases surrounding the season 10 finale.

Chicago Med Season 10 Finale Sounds Like It's Taking Big Risks

The Showrunner Teased What's To Come

According to showrunner Allen MacDonald's interview with TVLine, the ending of Chicago Med season 10 will be thrilling from beginning to end. While exciting episodes are always welcome, the bad news is that the finale likely features more heartbreak than happiness. Regarding Chicago Med season 10's last episode, MacDonald revealed:

"Circumstance forces Dr. Charles to face a dark legacy in his family; Goodwin confronts her demons as she makes some deeply difficult decisions, both personal and professional; and there will also be some unexpected faces returning ... The final minutes of the hour will have some big shocks with lasting ripple effects. It's going to be a very long summer for Chicago Med fans!"

Based on MacDonald's comments, it sounds like the season 10 finale will take big swings. From Dr. Charles and Goodwin facing their demons to returning Chicago Med characters, the episode is bound to feature bold storytelling. This could go one of two ways — either Chicago Med season 10 ends with a memorable, gripping finale that has viewers anxious for season 11, or the hour's risks don't pay off, and the teased developments are more disappointing than they are riveting.

What Might Happen In The Chicago Med Season 10 Finale (Based On MacDonald's Comments)

Will Someone Die?

Dr. Charles and Goodwin undoubtedly have big roles in Chicago Med season 10, episode 22, "Out of Your Control," given that MacDonald singled the two characters out while speaking with TVLine. So, if fans are going to be concerned about anyone, it should be Dr. Charles and Goodwin. The good news is that Goodwin has already had a near-death experience this season. As a result, it's rather unlikely that the writers will put her life in danger once more by copying what happened in the fall finale.

MacDonald specified that "unexpected faces" would appear in Chicago Med season 10, episode 22, confirming that more than one former character is coming back.

Perhaps Goodwin's story revolves around her contemplating her place at Gaffney. A career change might be in the cards for her character, which would for her personal and professional "deeply difficult decisions." As for Dr. Charles, the return of his daughter, Anna, could be what MacDonald alluded to in his comments. However, MacDonald specified that "unexpected faces" would appear in Chicago Med season 10, episode 22, confirming that more than one former character is coming back.

Chicago Med cast who have exited over the years, like Brian Tee's Dr. Ethan Choi or Nick Gehlfuss' Dr. Will Halstead, could make surprise cameos in the season 10 finale. The options are endless. Only time will tell who returns to Gaffney and why they do so, and until then, we can only speculate.

Chicago Med Season 10 Sounds Like It Will End On A Cliffhanger

Allen MacDonald's Teases Suggest The Season 10 Finale Won't Have A Satisfying Ending

Regarding MacDonald's teases about the final minutes of the Chicago Med season 10 finale, the episode might end with one or more characters' lives hanging in the balance. Not many main characters have died in the One Chicago TV show. At least, compared to Chicago Fire and Chicago PD. So, it's possible that the medical drama has finally decided to go down that route and put a doctor or nurse in critical danger. Whatever the case, unless MacDonald is lying for some reason (which is very unlikely), fans can expect Chicago Med season 10 to end on at least one cliffhanger.

Source: TVLine