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This list was originally published in 2018, but theres been a lot ofGreys Anatomyrelationship drama since then.
Weve updated the ranking to include fresh couples as of season 20 and reevaluated the romances that came before.
OnGreys Anatomy, love is always in the air.
Love will find you!
Youd think all these elite surgeons would be busy saving lives, but no.
These people are also elite multitaskers.
This ranking is not necessarily about who is the happiest, healthiest couple.
In fact, there are some couples high up on this list that were not healthy at all.
(Look away, therapists!)
Were they memorable regardless of how short (or terrible!)
their stint together was, or will we have to go look them up after reading this?
Unfortunately, the guy she chooses to date to make it make Alex Karev jealous is also abusive.
Jo fights back and puts him into a coma.
After Alex threatens his life and career, the OB/GYN is never seen or talked about again.
Its better that way.
Izzie is better off without him.
The guy doesnt get her medical-internship life and is barely memorable.
Hank is but a blip.
Priya, a human-rights lawyer, was always too good for Jackson and the drama of Grey Sloan.
Clive was kind of cool until his wife showed up.
Wives, am I right?
Arizona Robbins and Eliza Minnick
Arizona Robbins has chemistry with pretty much everyone.
(How many hot lesbians have shown up and immediately fallen in love with her?)
So it is confusing when she has zero chemistry with the universally disliked Dr. Minnick.
Arizona needed some romance, but THIS WAS NOT THE WAY.
He was sweet, though, and did handle all of Levis anxiety quite well!
Good luck to you, traveling nurse Carlos!
Maggie Pierce and Ethan Boyd
Radiologist Ethan Boyd is Maggies first foray into the Grey Sloan dating pool.
Hes very cute and patient, but this fizzles out pretty quickly.
Not long after, Ethan ends up getting married and Maggie seeks comfort in Andrew DeLucas arms.
Alex Karev and Lucy Fields
Lucy is Alexs first real girlfriend after the one-two punch of Rebecca/Ava and Izzie.
There wasnt a ton of passion here to begin with, but still, thats cold.
Good for them, inconsequential to us.
Meredith Grey and William Thorpe
On paper, Thorpe is great.
Hes a soldier who is also a surgical oncologist.
He is a hunk with a dark side.
He is cool with going on a date that consists of simply eating French fries in his car.
Unfortunately, he shows up much too early.
Meredith is nowhere near ready to begin dating after losing Derek.
Thus, Thorpes time is short-lived.
Owen Hunt and Emma Marling
Emma is perfect for Owen!
She is sweet and kind.
She is an excellent maternal-fetal surgeon.
She volunteers to cook Thanksgiving dinner even though we all know that is legit crazy.
She also wants to have a family.
Which, to our knowledge, is all Owen has ever wanted in life.
Its what drove an insurmountable wedge between Owen and Cristina.
Owen is insufferable in this moment and Emma, girl, youre better off without the guy.
Julia is a talented eye surgeon who loves Sofia, loves Sofias moms, and loves Mark.
They even start talking about building a family together all of Marks dreams are coming true.
Except all of Marks dreams include Lexie.
George OMalley and Olivia Harper
The worst thing about this relationship is not that Olivia gives George Alexs syphilis.
The worst thing is that George ends it by saying, I like you, Olivia.
I just dont like you enough.
Teddy Altman and Andrew Perkins
For two hot people, this relationship sure is a snooze.
Taryn is Mikas boss, and Mika wants to put her career first.
It was never going to last!
than it did a relationship to root for.
Neither were ready to get into something real and it showed!
If you were asking Leah, shed say they were on the verge of getting married.
Seriously, it was like it was part of the residency program or something.
Tucker isnt around much, but the relationship is extremely important to Baileys character development.
She was pretty broken post-divorce (what kind of man gives Dr. Miranda Bailey an ultimatum?!
), and you could still see those effects today.
Theyre iconic and complex and have a wild amount of chemistry!
This, however, is aGreys Anatomylist, and something tells me mostGreysfans wouldnt even know Mayas name.
Killing Derek is bad, but the latter is straight-up ridiculous.
And thats all that we are.
Amelia and Owen are two broken people running from pain and loss who find one another.
Sometimes that can be romantic.
This time, however, Owens right: Its just a plane crash.
Rose and Derek seem pretty great together, but come on.
Lets all be honest with ourselves here.
Izzie Stevens and George OMalley
Hard pass.
Have two people meant to be so right for each other ever ended up being this wrong?
Could theGreyswriters lay off a little?
Is that so much to ask?
So, why arent they dead last on this list?
Because we might not enjoy our time with them, but we will never forget they existed!
#WouldIfICould
44.
And then she got pregnant and refused to tell Link who the father was.
Things got complicated, but they stuck it out through the pandemic.
Honestly, he was asking for the heartbreak.
Teddy just needs a good lay.
Fortunately, they both get a little of what they want!
The sex is good, the daytime conversations are surprisingly nice, but ultimately these two arent very compatible.
Monopoly, and Jackson wanders off into deadly fog rather than be around her for one more minute.
Con: The chemistry between George and Callie was always a little bit off.
Callie got a raw deal, you guys.
Hes a dog, but hes our dog!
There was chemistry between them, obviously, but Erica was never THE ONE for Callie.
So when Hahn walked off into the Parking Lot of the Unknown, it wasnt a huge loss.
Thats pretty much Lexie and Alex.
Stephanie Edwards and Kyle Diaz
This doctor-patient relationship is the mini-version of Izzie and Denny.
Stephanie and Kyle dont get as much time or focus, but they have a similarly intense connection.
It is brief but swoony!
Its a real shame.
Did you hear the part about the baby furniture?
Andrew DeLuca and Sam Bello
Wow, what a real turn around here!
Thats a trajectory for iconic couple status.
A lot of wasted potential here!
Maggie Pierce and Andrew DeLuca
Like Tyra Banks before me, I was rooting for them.
It was good for by-the-book Maggie to spend some time shtupping an intern.
But Jacksons heart is never truly in this, and as a result, its hard to root for.
They are only memorable for how they ended.
Miranda Bailey and Eli Lloyd
Lets call this oneHow Miranda Bailey Got Her Groove Back.
Did I think it would cost a man his life?
No, but thems the breaks, Sam Sutton, you bag of bones!
But it is nice to see them happy and raising their kids together.
I told you, Im a sucker.
This relationship was never going anywhere, but its also hard to forget.
Meredith Grey and Finn Dandridge
Oh, McVet.
McVet is a very nice man who can heal animals.
McVet is very handsome.
But McVet is only an obstacle.
McVet is a plot rig to prolong the inevitable reunion of Meredith and Derek.
McVet is very dreamy but he isntMcDreamy, you know?
This was always a relationship of four people.
Thankfully, it ends in exactly the right way.
April Kepner and Matthew Taylor
Matthew Taylor must rue the day he met April Kepner.
First, she ditches him at the altar to be with Jackson.
Then, his wife, Karin, dies in childbirth at Grey Sloan (with April lurking around).
These two are memorable for all the wrong reasons.
There was never much hope for them, which is a shame because they are a great pairing.
Also, laundry-room sex!
Itssogood Kai is initially willing to throw their no kids rule out the window.
Maybe someday these two will get the timing right?
Meredith Grey and Andrew DeLuca
Listen, Andrew whispered in Merediths ear in Italianwhilethey were on an elevator.
Whats a girl to do?
We know elevators are Merediths aphrodisiac!
This might be controversial to say, but I enjoyed these two as a couple.
Still, it was always doomed: As Andrew figured out, Meredith never saw him as her equal.
), so it really wasnt going to last long term, you know?
Nathan Riggs and Megan Hunt
Didnt we almost have it all?
After ten years, Megan Hunt turns up alive and she and Riggs are still very much in love.
Its a testament to the show and to Martin Henderson and Abigail Spencer that people were so invested.
They were standing there, holding each other in the waves!
To what end?!
Who does this serve?!
I am still so mad about this!!
Get out of here with this!
She tells him she doesnt respect him, and that is the point of no return for these two.
Levi Schmitt and Nico Kim
Schmitt and Nico have had some very memorable moments.
A steamy one: hooking up in the back of that ambulance during the wind storm.
Thanks for coming to my Ted (Schmitt) Talk.
In just one season, the pull is so magnetic that she pulls aRunaway Bridefor him.
In short: They are undeniable and I have very big hopes for their future.
Their breakups and makeups grew repetitive, especially since neither were ever going to change who they really are.
Cristina Yang and Surgery
The purest love depicted on this show.
Derek Shepherd and Addison Montgomery
Even when these two hate each other, they are good together.
Their chemistry is off the chain, as the kids say.
This couple is another that falls victim to the unstoppable force of Meredith and Dereks story.
The only difference: This one really hurts.
Im not saying I want to live in that universe, Im just saying it exists and thats nice.
But Mark and Addison are such an integral, iconicGreyspairing that it felt wrong not to include them.
Too hot not to be here, that is my final ruling!
Henry makes Teddy happier than weve ever seen her, thank you very much, Owen Hunt.
They are in such a lovely place when Henry suddenly dies on Cristinas surgical table.
Teddy and Henry werent together long, but boy, were they memorable.
Alex Karev and Jo Wilson
What do you even say here?
Alex had become so mature!
Jo had become mostly tolerable!
These two abandoned souls who found one another seemed poised to become a long-term, foundationalGreyscouple.
Who did not tear up during Jos you are my home and you are my heart proposal?
Alas, it is what it is.
Hey, well always have that one time they made out against a barn.
BRB, I have something in my eye.
Millions of people know what an LVAD wire is because of Izzie and Denny.
We all fell for Denny.
Although, if youre honest with yourself, Izzie and Denny are such a memorableGreyscouplebecausehe dies.
But its not their time.
They dont cross paths again until season 18.
The connection is instant.
The chemistry, undeniable.
To see Meredith this happy again is pretty freaking great.
Callie Torres and Arizona Robbins
This relationship is a tough one.
Its one of the longest onGreys Anatomy.
It is the shows first long-term same-sex couple.
Callie and Arizona make each other better people … until they dont.
The two are never the same after Arizona loses her leg in the plane crash.
They fight admirably to save their marriage, but only end up hurting each other over and over again.
), plus an affair to boot, and Callie taking it like a punching bag.
Such high highs really gave way to some seriously depressing lows.
A hot sex scene featuring two characters over 50?
Very refreshing,Greys!
Richard and Catherine are such a great couple because they are so evenly matched.
There is romance and flirtiness and real, loving support for one another.
And if they dont stand the test of time now,Greys, heads will roll.
Mark Sloan and Lexie Grey
Mark and Lexie are undoubtedlyGreys Anatomysstar-crossed lovers.
They are each others destiny, but just cant seem to work out the timing.
It remains tragically off until the very end.
Mark follows soon after.
So, in this life, they never work out.
But on Merediths Death Beach, she envisioned Lexie and Mark together again … so maybe in the next?
Richard is the only person who can calm her.
Richard doesnt regret staying with Adele, but he also understands that telling Ellis this wont help her situation.
Instead, he holds her and tells her about the wonderful, happy life they would have had together.
And then suddenly, she is gone again.
Cristina Yang and Preston Burke
Come at me!
He somehow makes a yellow turtleneck hot as he spoons Cristina after her surgery for an ectopic pregnancy.
Cristina puts her career in jeopardy to help Burke hide his hand tremor after hes shot.
THEY DANCE IN THE KITCHEN TOGETHER.
They are Cristina and Burke!
No, they dont end up together, but they are forever connected.
Jackson Avery and April Kepner
Well, well, well, what do we have here?
Is that Japril being endgame against all odds?!
Japril may be a divisive pairing at large, but on this list?
On this list we are pro-Japril always and forever.
It also doesnt get much swoonier than Jackson standing up and professing his love for April at her wedding.
Say it loud and go from there!
and remained each others best friends even as they went on to date other people.
WhileGreys Anatomymay have botched Aprils exit (marrying Matthew, are we kidding?
They always found their way to one another.
And yet here we are.
and yet, it still feels right.
Okay, at first, it felt very wrong.
Alex leaving Jo with zero warning or explanation they were in a very healthy place!
made very little narrative sense.
But wanting to give Alex and Izzie a happy ending?
In a perfect world, seeds wouldve been planted, leading Alex back to his ex-wife.
We wouldve gotten the slow burn reunion this epic romance deserved.
But there was no time for planting or slow burns.
Meeting as interns, the two were given your classic enemies-to-lovers arc.
Alexs you make me better.
You make me want to be better speech?
It still makes me tear up.
Their wedding while Izzie was on the verge of dying from cancer?!
An ugly cry for the ages!
She is our mom and he is our dad.
No they are not, sir!
No they are not!
Meredith Grey and Derek Shepherd
As if anyone else had a chance.
without its most iconic couple.
But that doesnt mean we werent blessed to watch them fall in love for 11 seasons.
That Meredith and Derek are a frickin romance novel.
Whats the most romantic part of their story?
Love me of it all?
When Meredith makes an outline of the dream house using candles?
The Post-it note wedding?
Thankfully, before Derek tragically meets his end, the two are in a very good place.
Theyve been fighting for almost an entire season until finally Derek realizes that whats most important is Meredith.
He stops their fighting by calling Post-it.
And tumors on the walls.
And ferry boat scrub caps.
Now, if youre not already swooning, check your pulse.
He tells his wife that he cant live without her, and more importantly he doesnt want to.
