Fiona Dourif’s Road to The Pitt Runs Deeper Than You Know
The 44-year-old swiftly made Dr. McKay a fan favorite. The actress channeled everything she’s learned during her journey to PTMC in order to pull it off.
“This is probably something I should not tell you,” Fiona Dourif warns me, mid-stride. She’s looking down at her phone, somewhere between incredulous and amused. “I should have been a little bit more of a diva and I wasn’t,” she says.
The 44-year-old actress is on a rare sabbatical from her stellar turn as Dr. Cassie McKay on The Pitt, and she’s filling her time with a new role. (Variety revealed earlier today that she’s starring in a suburban horror movie produced by Robert Downey Jr. titled A Head Full of Ghosts.) She can’t tell me much about it just yet as we speak, but she jets from Los Angeles to Ireland tomorrow to begin filming. The one thing she can share, actually, is that she had to dye her hair for the role. I won’t bury the lede: Someone turned Fiona Dourif’s hair pink. Or maybe a bright red. Neon orange? Hard to tell, but you guessed it: Dourif is phoning in today from the aftermath of a color correction.

“I mean, what color is that?” Dourif asks, squinting at her tiny square on her Zoom app. “That might be pink. It’s okay, though. It’s going to be fixed before I leave.”
If anyone’s earned the right to be a little bit high-maintenance, it’s Dourif. Much like the rest of the medical drama’s spot-on cast, she spent years grinding in Hollywood before her shift began at PTMC. Though she appeared in everything from the Paramount+ miniseries The Stand to Christopher Nolan’s Tenet, horror fans probably knew Dourif’s work better than anyone. She starred in multiple Chucky franchise efforts—in a role that diehard horror fans understood as kismet. Her father is the actor Brad Dourif, who famously voiced Chucky after his roles in classics like Blue Velvet and One Flew Over the Cuckoo’s Nest. (Fun fact: He also made a cameo in The Pitt‘s first season as Dr. McKay’s father, Neil.)
“I had actually had a few—for the first time in my life—real offers for things, and it is not something I take lightly,” Dourif says, telling me about how The Pitt changed her career. “It took me a really long time to make a living as an actor. That’s been basically paying my bills for about ten years, but to have The Pitt happen when I was 43, it just feels even luckier than if it had happened in my 20s, because I’m licking every morsel of it.”
Even though Dourif’s work on The Pitt season 2 ended weeks ago, McKay’s shift certainly has not. In episode 14, which debuted on HBO Max this Thursday night, it feels as if just about every PTMC hero is going through their dark night of the soul … except for McKay. Season 1 saw the doctor spar with her ex, take care of her kid in the aftermath of a mass-casualty event, and forcibly break her own ankle monitor. In The Pitt‘s sophomore effort? McKay often feels like the most dependable colleague—whether it’s giving a shoulder to Mel, coaching Ogilvie through his first experience with the Street Team, or caring for the young mother who died of cancer earlier in the season. So how is McKay keeping it all together?

“There’s probably a quality of self-sufficiency that comes from going through hard things before you’re a doctor or just losing the ground from under you,” Dourif says. “[The Pitt‘s creative team] wanted to show somebody who’s been through a lot, had a lot of sad things happen, is resilient, and is doing her best. It’s a privilege to be able to play it.”
Below, Dourif opens up about her journey to The Pitt, McKay’s defining patient of season 2, and if the doctor will ever find love.
ESQUIRE: How long will you be in Dublin?
FIONA DOURIF: Until the beginning of May. I did two years of college in Ireland. I did my Leaving Cert. Nobody knows what that is. It’s like—if you were really bad in high school, which I was. I was a pretty rebellious kid. So I didn’t complete anything. And I did graduate high school but at the very bottom. I tested well. I just stopped going to school anyway. I did basically the final year of high school, which culminates in a test. That’s how you matriculate into college over there.
It reminds me of something I talked about with Patrick Ball, because we experienced something similar. It’s when you’re terrible at school, but you eventually realize that if you don’t find something to do with your life—and perfect it—you’ll never do anything at all.
That’s exactly what happened to me. I remember the moment. I really got in a lot of trouble as a kid. Like, I went to juvenile hall for a week and basically had to leave Los Angeles. My mother was like, “Where do you want to go?” I said Spain to learn Spanish. They sent me 400 bucks a month, and I just was like a bartender in all of these weird places for a year. There was this moment when I was scrubbing bar-room floors at three o’clock, hungover. I was just like, Is this what I’m gonna do for the rest of my life? That’s why I went back to college.


