The Season 11 finale of Chicago Med is set to captivate as the Gaffney heroes navigate challenges among patients and personnel alike.

Chicago Med show runner Allen MacDonald chatted with NBC Insider about what Chihards can anticipate on the horizon for the Gaffney fleet. “We can expect a lot of suspense off the penultimate episode,” MacDonald teased, adding that Med‘s Season 11 finale is the final chapter of a two-parter with the exciting “Hell Breaks Loose.” For those who may need to catch up on Peacock, several of the Med doctors are left at a crossroads going into Season 11’s epic conclusion, with the stakes at an all-time high.

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So, how will the chaos come to a head during Med‘s action-packed Season 11 finale (“Heaven Help Us”)? MacDonald breaks down what Chihards can expect from the Med finale, below:

Chicago Med‘s showrunner reveals the Season 11 finale keeps the “tension going”

While they are conditioned for chaos thanks to their often hectic day-to-day, all of the Chicago Med doctors are feeling the pressure going into Season 11’s thrilling finale.

“We wanna keep the tension going, but we also, in the finale, I wanted to make sure that a lot of things were emotionally paid off and that everybody had the proper catharsis for all the things that we built up,” Macdonald shared. “And it was important to me that that happened, and I certainly hope that it does happen for the viewers.”

With several loose ends left unraveled, Med‘s showrunner wanted to make sure those were properly tied up. Not only has an incarcerated patient escaped his hospital room after seizing a firearm, but a pregnant Dr. Hannah Asher (Jessy Schram) started going into labor in the middle of conducting an emergency C-section.

Meanwhile, Dr. Daniel Charles (Oliver Platt) found out that his former mentee, Dr. Theo Rabari (Manash Dayal), may be a sociopath gunning to replace him at Gaffney, setting the stage for a high-stakes board meeting with Sharon Goodwin (S. Epatha Merkerson).

As if the emotions were not high enough, Dr. Caitlin Lenox (Sarah Ramos) delivered quite the jaw-dropper after telling Mitch Ripley (Luke Mitchell) she is in love with him after he recently discovered her terminal health diagnosis. How will Ripley respond to the shocking confession?

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Simply put, the drama is firing off on all cylinders. Season 11 of Chicago Med has featured several slow-burning plotlines that will come to a boiling point in the finale. From the complex emotions brewing between Hannah and Dr. Dean Archer (Steven Weber) to bespoke careers landing in jeopardy, Chihards won’t want to miss how it all comes to an end.

Where to watch and stream Chicago Med‘s Season 11 finale