Your comprehensive guide to Alex's Grey's Anatomy romances (2024)

Your comprehensive guide to Alex's Grey's Anatomy romances (1)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (2)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (3)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (4)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (5)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (6)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (7)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (8)

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

Your comprehensive guide to Alex's Grey's Anatomy romances (9)

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!

Your comprehensive guide to Alex's Grey's Anatomy romances (2024)

FAQs

Who is Jo Wilson's baby daddy? ›

Luna Wilson is the daughter of Jo Wilson, who was born to her late patient Val Ashton. Luna was born at 26 weeks' gestation after spending those 26 weeks growing outside her mother's uterus on her liver. She was the result of a one-night stand her mother had following her divorce.

Does Jo say yes to Alex's proposal? ›

Following a roller-coaster romance filled with awful exes and on-again, off-again turmoil, Alex (Justin Chambers) and Jo (Camilla Luddington) become engaged by episode's end.

Do Jo and Linc end up together? ›

There's just so much going on, which is great, but there was no easing into it. We had to get right back into the chaos. Let's talk a little bit about Jo and Link. Jo finally said "I love you" and they seem to be making their relationship official now.

What is the most intense Grey's Anatomy episode? ›

What Is the Most Dramatic Episode of Grey's Anatomy?
  • Sanctuary (Season 6, Episode 23) ...
  • Flight (Season 8, Episode 24) ...
  • Diseñadores publicitarios · Public domain. ...
  • Death and All His Friends (Season 6, Episode 24) ...
  • The Sound of Silence (Season 12, Episode 9) ...
  • How to Save a Life (Season 11, Episode 21)

Did Jo get pregnant? ›

No. It was neither! The morning after, Jo was able to tell Link with certainty that she was not pregnant — but with him, she did want to have another kid. “I can get there,” he said.

Does Jo tell Alex she's pregnant? ›

It was actually during this second wedding ceremony that Jo told Alex she's “pregnant”, but before he could even react to the news, she told him that she was joking.

Did Alex really love Jo? ›

Karev buys Meredith's old house from her, and Cristina becomes his roommate. Karev forms a friendship with a new intern, Jo Wilson, that eventually develops into romantic feelings towards each other. Alex admits his love for Jo, and the two kiss and become a couple.

Why did Alex dump Jo? ›

In it, Alex explains that he is leaving Jo to be with his first wife, Izzie Stevens (Katherine Heigl), who secretly had his children. Alex emphasizes that if the choice was only between Jo and Izzie, he would pick his wife.

Do Alex and Jo divorce? ›

As a result, Alex decided to divorce Jo and move to Kansas, where Izzie had since relocated. “Izzie had my kids, and I know you get what that really means. I know you of all people know why I can't just leave now,” he wrote to Jo.

Who does Atticus Lincoln end up with? ›

Atticus Lincoln, preferably called Link, is the Head of Orthopedic Surgery at Grey Sloan Memorial Hospital. He was in a relationship with neurosurgeon Amelia Shepherd, with whom he has a son named Scout. He is currently in a relationship with Jo Wilson.

Who does Jackson Avery end up with? ›

Kepner chooses Avery, and they run out of her wedding together. When Kepner regrets her decision, Avery proposes to her and they elope. They keep their marriage a secret from the rest of the hospital staff, because of a new rule restricting relations among the staff.

What is the saddest season finale of GREY's anatomy? ›

The Season 6 finale showcased intense losses, traumatizing experiences for characters, and injured Derek. The finale was emotionally heavy, tested the characters, and highlighted the depth of relationships amidst the chaos.

Do Alex and Jo have a baby? ›

Alex was down to have a baby with Jo, but they both decided that it wasn't time for them yet.

Who did Dr. Wilson have a baby with? ›

In "Leave a Light On", after months of Alex's disappearance and Jo's concerns and suspicions he has left her, he reveals through a letter that Izzie did indeed have his kids via the frozen embryos and he has left to be a father to their twins and to start a new life with her.

Do Jo and Link have a baby? ›

She knew she couldn't bring an innocent child into that relationship. Jo is now a mom to Luna Wilson. She adopted her daughter after Luna's birth mother died in Season 17. Link is already a dad to Scout, whom he shares with Amelia (Caterina Scorsone).

How does Jo get custody of Luna? ›

One month later, Link had been approved to foster the baby. But by January of 2021, it was revealed that Jo selling her shares paid off. Her amazing attorney won her custody of Luna.

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