Warning: This post contains spoilers for season 2, episode 14 of The Pitt.

The Pitt is setting up a dramatic conclusion to season 2.

The show’s explosive penultimate episode features Noah Wyle’s beloved Dr. Michael “Robby” Robinavitch admitting his suicidal ideation and Sepideh Moafi’s Dr. Baran Al-Hashimi revealing her medical secret.

The medical hit’s sophomore season follows workers at the Pittsburgh Trauma Medical Center during a 15-hour shift on the Fourth of July. The shift is also Dr. Robby’s last day at work before his three-month sabbatical that has many, including Katherine LaNasa’s nurse Dana Evans and Fiona Dourif’s Dr. Cassie McKay, concerned for his wellbeing.

Episode 14, written by Wyle, features the senior attending physician having a serious talk with his friend Duke (Jeff Kober) after he repairs his motorcycle ahead of his impending cross-country motorcycle trip. While standing near the ambulance bay, the mechanic shares that he’s done “plenty of things he’s not proud of” and Robby says he has too.

“I did my time but that doesn’t wash away the regret. I wish I’d done things differently, I think about it every day,” Duke tells his friend, who is quick to reassure him. “They say that it’s never too late to change,” Robby says.

“Some things can’t be changed, like death. Death can’t be changed,” Duke, who just received a potentially fatal aortic aneurysm diagnosis, responds.

Robby begins comforting Duke about his diagnosis, but Duke cuts him off saying, “I’m not talking about me.”

Robby grows emotional at the realization that Duke is referring to him. He admits to his friend, “Yeah, I don’t know if I want to be here anymore.” Duke takes a deep breath and responds, “I don’t know how you spend 12 minutes in there, let alone 12 hours, 20 years,” referring to the hospital.

“No, that’s the only place I can be,” Robby says, wiping tears from his eyes. “I have purpose in there. I can be distracted in there. I don’t know that I want to be anywhere anymore.”

Duke continues to ask Robby about his plan, and he says, “Ride.” The mechanic digs for more information, asking the doctor, “Toward what?” Robby says, “I don’t know.”

“Away from what?” Duke asks and Robby says, “Everything.”

“Well that’s not riding, that’s running,” the mechanic says.

An ambulance arrives with a new patient, promptly ending the emotional conversation. But there’s still more in store for Robby. After the attending is briefed on the patient and tears into the medics for a mistake they made earlier in the shift, he is asked by Dr. Al-Hashimi for an “honest” second opinion on a patient.

While the moment seems like it could be a peace offering between Robby and Al-Hashimi, who is set to fill in for him during his sabbatical, the situation quickly turns sour.

Robby reads the medical history of the patient, unaware that the patient is actually Al-Hashimi. The chart reveals that she has experienced seizures since she was 5 years old.

Robby pauses and removes his glasses, asking her, “Baran, is this you?”

Could the seizures explain Al-Hashimi’s moments of forgetfulness that Robby has been curious about during his shift? Does her medical condition affect her ability to treat patients? Will Robby actually go on his motorcycle trip after the confrontation with his friend?

The last episode of the season has plenty of questions to answer.

The Pitt season 2 finale airs Tuesday, April 16 at 9 p.m. ET on HBO Max.