Going into the Grey’s Anatomy season 18 finale, loyal fans of the series weren’t quite sure what new plot twists show writers could come up with that would again create an “OMG moment.” Given the drama has been on the air since 2005, some viewers started to wonder what fresh ideas could be written into the series that keep things new and exciting?

After the season 18 finale, the brilliant minds in the Grey’s Anatomy writers’ room left many fans on the edge of their seats.

At the end of last season, Grey Sloan Memorial Hospital was in shambles. The residency program was shut down, a couple of doctors quit and were on the run from police and two cornerstones of the hospital and show took a leave of absence with no future plans as to when or if they’d return.

As essentially the last woman standing, Meredith Grey (Ellen Pompeo) is now left to navigate uncharted territory as the interim chief of surgery in the new season.

Here’s everything we know about Grey’s Anatomy season 19.

When is the Grey’s Anatomy season 19 release date?

Grey’s Anatomy season 19 is set to premiere on Thursday, October 6, at 9 pm ET/PT on ABC. The episode becomes available to stream the next day over on Hulu.

To date, there has been no official announcement made as to when the new season will premiere in the UK. However, once that information becomes available, we’ll be able to pass it along.

Who’s in the Grey’s Anatomy season 19 cast?

Ellen Pompeo as Meredith Grey in surgery in Grey's Anatomy

Ellen Pompeo as Meredith Grey in surgery in Grey’s Anatomy (Image credit: ABC/Liliane Lathan)

Let’s get the most shocking casting news out of the way first. According to a Deadline (opens in new tab) report, Ellen Pompeo is scheduled to only be in eight episodes this upcoming season as Dr. Meredith Grey.

This development comes as it’s also been announced that the actress is set to star in the upcoming Hulu limited series Orphan. At this time, there is no word how her eight episodes will be spaced out and if this means we are nearing the end of Meredith’s time on the series. However, we do know Pompeo will still be on hand as an executive producer on Grey’s.

With that said, we’re happy to relay that Deadline (opens in new tab) states a majority of the other series regulars are returning for season 19. This includes the following:

  • Chandra Wilson as Dr. Miranda Bailey
  • James Pickens, Jr. as Dr. Richard Webber
  • Kevin McKidd as Dr. Owen Hunt
  • Kim Raver as Dr. Teddy Altman
  • Camilla Luddington as Dr. Jo Wilson
  • Caterina Scorsone as Dr. Amelia Shepherd
  • Kelly McCreary as Dr. Maggie Pierce
  • Chris Carmack as Dr. Atticus Lincoln
  • Jake Borelli as Dr. Levi Schmitt
  • Anthony Hill as Dr. Winston Ndugu

On another note,  Scott Speedman who portrayed Meredith’s love interest, Dr. Nick Marsh has been reduced to reoccurring status.

In some cast addition news, five first-year surgical residents are heading to Grey Sloan in season 19. Alexis Floyd (Inventing Anna), Niko Terho (The Thing About Harry), Midori Francis (Good Boys), Adelaide Kane (Once Upon a Time) and Harry Shum Jr. (Glee) have all been cast as newbies at the hospital.

Grey’s Anatomy season 19 plot

Kim Raver and Kevin McKidd as Teddy Altman and Own Hunt on Grey's Anatomy

Kim Raver and Kevin McKidd as Teddy Altman and Own Hunt on Grey’s Anatomy (Image credit: ABC/Liliane Lathan)

It wouldn’t be a Shonda Rhimes show if there wasn’t a heavy veil of mystery as it pertains to storylines and plots. So naturally, at this point, we don’t have a lot to report on what viewers can expect in the new season.

However, if we again reference the season 18 finale, Grey’s Anatomy fans should expect to see Meredith trying to figure out how to serve in her new role as interim chief of surgery. Although, with news of Pompeo’s reduced role in season 19, it seems likely she won’t be at the helm of the hospital for long.

Additionally, not only did Richard Webber (James Pickens Jr.) and Miranda Bailey (Chandra Wilson) walk away from their jobs, but the residency program has been shut down and Teddy (Kim Raver) and Owen (Kevin McKidd) are on the run from the police. To say Grey Sloan is short-staffed would be an understatement.

Other notable events from the finale that have set up interesting storylines heading into the season 19 premiere include the blossoming romance between Amelia Shepherd (Caterina Scorsone) and Kai Bartley (E.R. Fightmaster) and the rollercoaster entanglement of Jo Wilson (Camilla Luddington) and Atticus Lincoln (Chris Carmack).

Grey’s Anatomy season 19 trailer

It’s still too early for a Grey’s Anatomy season 19 trailer. However, we’ll be sure to post it as one becomes available.

How to watch Grey’s Anatomy season 19

Grey’s Anatomy is an ABC original series and as such, episodes will air live directly on the broadcast network. For those that have cut ties with traditional cable/satellite television, ABC is available to stream on live TV streaming services such as Fubo TV, Hulu with Live TV and YouTube TV.

Prefer to watch content on your own time? No problem, as Hulu streams new episodes the day after they air. You can purchase a Hulu subscription in just a few clicks.

As of now, there hasn’t been an official announcement as to when season 19 will air in the UK. We’ll be sure to provide an update as that information becomes available. Last season, Grey’s Anatomy was available in the UK on Sky Witness.