Alex KarevDue to his surgical background, he was once seen as a devilish flirt, but now he is known as one of the sweetest guys in the world.gray anatomy. It's not really hard to see why the ladies are attracted to Alex - while he's rough, the pediatrician is decenta lust for the eyeand has a big heart. Sure, you'll probably remember his two great loves as Izzie andJo. But Alex has already been in the dating pool a few times due to the medical drama, embarking on both flings and intense relationships long before we leftJolex. Need a little refresher whose hearts he's stolen before? Here's a look at all the souls mesmerized by Alex Karev, Gray Sloan's rugged romantic.
01
Izzie Stevens
Izzie and Alex's flame grows from an innocent friendship and eventually becomes oneGraystrongest romances. While their relationship fails after Alex's involvement with nurse Olivia, they eventually reconcile and even marry after Izzie's cancer diagnosis. Just when we thought they were made for each other, Izzie turns to Alex because she thinks he's sabotaging her career. When she returns to Seattle Grace cancer-free, Alex is happy for her but tells her he deserves better. Ouch.
02
Olivia Harper
Olivia and Alex share a casual romp before she decides to break things off with him to pursue George. Unfortunately, she contracts syphilis from him, which she passes on to George. In season two, they begin to have a sexual relationship again, much to the dismay of Alex's then-girlfriend Izzie. Years later, they have the world's most awkward reunion when he treats her child, where Jo learns about Alex's syphilitic past.
03
Addison Montgomery
Addison and Alex share a short-lived relationship in season three. After much sexual tension, they kiss in Joe's bar and later get down and dirty. But Alex isn't ready for a relationship yet, so things are slowly going wrong between the two. Still, Addison leaves an impression on him, making him pursue peds instead of plastic.
04
Ava/Rebecca pause
Rebecca Pope plays a tragic and revealing part of Alex's story in the series. In season three, Alex saves a pregnant Jane Doe during the terrible ferry accident and gives her the nickname Ava because she couldn't remember who she was. She and Alex pursue a brief relationship during which he does his best to care for her. Ultimately, Izzie convinces Alex to seek psychiatric help from Rebecca, even though Alex claims he has helped his mother in situations like this before. Their relationship is a thing of the past after Alex admits that Rebecca, who suffers from borderline personality disorder, needs more help than he can provide.
05
Callie Torres
Yes, Callie and Alex were an item for a very hot and steamy second. We don't learn about their little encounter until late in the series, but on Lecture Day (season six), the ortho surgeon talks about a major reconstructive surgery she performed on Alex. Only Arizona notices what happened between them during Callie's speech.
06
Lexie Gray
Alex sleeps with Lexie before Izzie returns unexpectedly. During the filming of season six, Alex hallucinates after being shot and mistakes Lexie for Izzie. Their affair doesn't last long, as Lexie later tells him the truth about his visions after he walks through the hospital pretending to be a bad guy with a bullet in his chest.
07
Lucy Fields
Lucy and Alex get off to a bad start and a rather bitter end. When Alex first meets the attending obstetrician, he calls her patient a turnip. She then softens up to him after Meredith says a good word about him and they learn about their mutual love of college basketball. However, their relationship ends when Lucy takes a job in Africa that Arizona had originally recommended to Alex. When she asks him to tell her a reason not to go to Africa, Alex tells her to go to hell. Well, that's fine because he'll meet the love of his life two seasons later (knock on wood)!
08
Jo (Wilson) Karev
Jolex starts out as good friends who bond during their difficult childhood with Dr. Bailey's wedding. They finally become a couple after Heather's death, but later face difficult roads, especially after his father's arrival in Seattle. He asks her to marry him, which she initially refuses. Alex then finds Jo and Andrew in a compromising position, leading to him beating up the latter and being charged with assault. Shortly after they get back together, Jo pops the big question and covers their house in candles. And then they get married (though only after joining a barn where a dead man lay), despite a series of marital mishaps. Cheers to the happy couple!