
Not all drama on Chicago Med happens in the ER. During Season 4, a guest actor—cast as a high-profile patient—reportedly caused so many problems on set, the writers had to change the entire episode.
“He showed up late, questioned the lines, and refused medical makeup,” said one frustrated crew member. “He wanted to be ‘too handsome to be dying.’”
The actor (whose name remains under wraps due to NDAs) was meant to play a billionaire tech mogul with a rare disease. The episode was to focus on Dr. Choi’s struggle to save him. But after three days of delays and creative clashes, the showrunners rewrote the story entirely.
The episode was restructured into a plot about Dr. Marcel treating a young patient with a secret addiction—completely ditching the original script. Even scenes that were already filmed were trashed.
“It was a nightmare,” a writer said. “But in the end, we made something better.”
To this day, the episode stands out for its sharp shift in tone—and most fans have no idea why.