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On September 13, 2017, another special guest star was announced in Greg Germann (Ally Mc Beal); though details of his role were not disclosed, it was revealed that his character's name would be Tom Koracick and he'd been seen in the episode "Go Big or Go Home." His character turned out to be Amelia's neurosurgery mentor and he re-appeared in the subsequent episode entitled "Ain't That a Kick in the Head." On October 26, 2017, it was announced that Martin Henderson's appearance in the fifth episode of the season would be his last.
On October 9, 2017, the new group of interns to join the cast as of the fourth episode,"Ain't That a Kick in the Head," was announced to include Jeanine Mason (So You Think You Can Dance) as Sam, Alex Blue Davis as Casey, Rushi Kota as Vik, Jaicy Elliot as Taryn, Sophia Taylor Ali as Dahlia, and Jake Borelli as Levi.
When De Luca comes home, he finds his sister half-naked on his couch with Arizona.
Jo tries to mend her relationship with Alex, after it’s revealed that Jo slept with one of the new sub-interns.
Teddy Altman (Kim Raver) returns to Seattle to assist with Megan's reappearance and notices the tension in Owen and Amelia's relationship.
With the help of De Luca's sister, visiting doctor Carina De Luca (Stefania Spampinato), Amelia Shepherd (Caterina Scorsone) discovers she has a brain tumor that has been impairing her judgment for the last 10 years.
in season" column refers to the episode's number within this particular season. In a whirlwind of reunions and a Grey Sloan "major uplift," Meredith finds herself in a complicated love triangle between Nathan and Megan, Owen’s sister who was recently revealed to still be alive after a ten year absence in a hostage camp overseas.
With Megan’s reappearance, Teddy Altman comes back to Seattle to support Owen and his mom, which leads to awkward interactions with Amelia.