Source: The Dallas Morning News, Photo Credit: Peter “Hopper” Stone/ABC
Deadline reported Tuesday, May 19 that ABC is making a Grey’s Anatomy spin-off set at a rural West Texas hospital. The show is described as an “edgy drama” about a team at the last medical center before “miles of nowhere.”
The series, which is currently untitled, is co-created and written by original Grey’s Anatomy scribe Shonda Rhimes and Houston native Meg Marinis, who is the current showrunner on the flagship series.
“I am incredibly excited to expand the Grey’s Anatomy universe,” Marinis, a University of Texas at Austin grad, said in a statement. “This opportunity will bring new characters and stories to life that will embody the same heart, emotion and connection audiences have loved from ‘Grey’s’ for more than two decades — all set in my home state of Texas. I am so grateful to Shonda Rhimes for creating this dynamic world and feel so fortunate that I get to be a part of it.”
Here’s what has been revealed about the new show.
New Texas-set ‘Grey’s Anatomy’ series in the works
This is the fourth show in the Grey’s Anatomy universe after spin-offs Private Practice and Station 19.
The untitled spin-off will also be the first show not set on the West Coast, as Grey’s Anatomy and Station 19 are both in Seattle and Private Practice sets up shop in Los Angeles.
Deadline also states that this will be the first Grey’s Anatomy spin-off without a main cast member from the mothership show. Kate Walsh’s Dr. Addison Montgomery led Private Practice and Jason George’s Dr. Ben Warren headlined Station 19.
However, while the spin-off will follow a new group of doctors, the show will be connected to the Grey’s Anatomy universe by one or more characters. One of those people may be Debbie Allen’s Dr. Catherine Fox, per Deadline.
ABC will premiere the show in its midseason 2027 schedule, which could be anytime between January and May.
Another rural Texas medical drama on the way
This is the second rural Texas medical drama in the works in the last year.
CBS announced in November 2025 that it was developing a rural medicine drama starring Supernatural actor Jared Padalecki, who is from San Antonio and now resides in Austin.
The show follows a “headstrong, devoted doctor who practices his unique style of improvisational medicine alongside his new protégé, a young doctor escaping her past, as they operate a mobile clinic and heal the bodies and souls of their underserved community in the medical desert of rural Texas,” per Deadline.
There hasn’t been much of an update since the show was announced last fall, and it’s unclear when it will release.
Brayden Garcia, Fort Worth Star-Telegram (TNS) Tribune News Service
