When medical dramas seemed to be in the doldrums, ‘The Pitt’ appeared. And that has forced Netflix to make decisions

The Pitt’ has become one of HBO Max’s biggest critical and popular successes in recent times. And Netflix has reacted to the discovery of its rival by incorporating the 15 complete seasons of ‘ER’ into its catalogue. It is not an isolated case. They have been released six new medical dramas during the 2024-2025 season on different networks and platforms. The pattern suggests that the long and intense format recovers part of the space that short seasons, in the style of HBO’s prestige series, had imposed in the last decade.

The phenomenon. The series created by R. Scott Gemmill is sweeping: a 93% on Rotten Tomatoestwo Golden Globes (Best Drama Series and Best Actor), five Emmys (with thirteen nominations)… and the audience figures are just as strong: the first season averaged 10 million viewers per episode, but The second is multiplying that data by three.. Quite a bombshell that is generating a predictable shock wave.

The reason for success. Its technical and artistic virtues, needless to say, are very notable, with its feverish portrait of a night in the ER, mixing inconsequential cases with authentic life-or-death medical challenges, seasoned with circumstances that complicate each season (shootings, avalanches of patients, blackouts). But the format also explains part of the success: each episode represents one hour within a 15-hour shift in the ER, that is, fifteen chapters for a single work day.

The real-time structure, a reformulation of ’24’ in a clinical format, allows overlapping medical cases to be followed as staff deal with lack of resources and ethical decisions under pressure. Emergency professionals on websites that collect viewer opinions, such as IMDBhave highlighted the technical precision of the series, a rare detail in the genre. Casey Bloys, CEO of HBO Max, explained that the production model of ‘The Pitt’ allows seasons to be released twelve months apart, compared to the 24 months required by series like ‘The House of the Dragon‘. “This model could be applied to future productions,” he declared.

‘Emergencies’ on Netflix. In response, Netflix has added to its lineup the complete 15 seasons of ‘ER’. While its genuine successor reaches record figures, Netflix recovers the title that established the rules of the genre three decades earlier. ‘ER’ aired on NBC from 1994 to 2009 and Michael Crichton, a novelist and doctor, wrote the original script in 1974 based on his experience as a student at Boston General Hospital. Studios rejected it for years as too technical and fast-paced, but when it finally came to the screen thanks to Spielberg’s production, the show racked up 124 Emmy nominationsan all-time record for a series, and won 23 statuettes, including best drama series in 1996.

The influence of ‘ER’ on later series is indisputable. ‘Grey’s Anatomy’ (on Disney+) adopted its structure of weekly cases combined with long dramatic arcs; ‘House’ (on Netflix, Prime Video, Movistar and SkyShowtime) took the procedural approach applied to complex diagnoses; and ‘The Good Doctor’ (on Netflix, Movistar and Prime Video) inherited the balance between medicine and personal drama.

Avalanche of doctors. Until six new medical dramas have come to streaming in recent months, some thanks to the success of ‘The Pitt’, others being more or less contemporary with the premiere of the first season of the HBO Max series. Fox premiered ‘Doc’ (Movistar), which reached 15.6 million viewers in its first 11 days. NBC launched two proposals: ‘Brilliant Minds’ (Movistar), focused on complex neurological cases, and ‘St. Denis Medical’, a comedy in mockumentary format. CBS developed ‘Watson’ (Movistar), where Sherlock Holmes’ legendary sidekick investigates medical mysteries instead of crimes.

Netflix produced ‘Pulse’, his first English-language medical dramaset in a Miami trauma center. The platform also premiered ‘Heroes on Guard’, a Korean series about a traumatologist who tries to reorganize a university hospital. Both projects arrived in 2025, the same year that ‘The Pitt’ was consolidated on HBO Max. Some analysts point out that the COVID-19 pandemic focused collective attention on health workers and health systems. Five years later, once the trauma is over, we can allow ourselves to frivolize the dynamics of ER with almost detective plots.

Why they succeed again. Critics point to a couple of possible reasons for this type of drama to return to the grid. On the one hand, it is a alternative (especially ‘The Pitt’) to the predominant format in recent times of “complete story that unfolds in eight chapters.” Here we have, in many cases, a multitude of microstories/patients (in the case of ‘The Pitt’ sometimes they are almost sketches) that begin and end in the same episode, a traditional television structure but one that is not usually seen in successful series.

The formula also allows for something rare on television today: watching competent professionals solving problems. Each episode features new medical cases while personal arcs progress in the background. The viewer knows that Dr. Robinavitch will save lives on the night in question, even though his personal trauma takes fifteen episodes to resolve. The combination of cases that are resolved immediately and the slow development of a secondary plot also draws on series like ‘ER’ or ‘House’.

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