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The Best Episodes of Casualty Season 45

Every episode of Casualty Season 45 ranked from best to worst. Discover the Best Episodes of Casualty Season 45!

Binge this in 9h 39m•Peaking at 9.5/10

Drama series about the staff and patients at Holby City Hospital's emergency department, charting the ups and downs in their personal and professional lives.

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Episode Rankings

  1. #1 Fan Favorite
    Casualty Season 45 Episode 4 - Picking Up the Pieces
    9.5/10(2 votes)

    S45:E4

    Siobhan struggles to pick up the pieces in the wake of her attack. Kim goes to great lengths to impress Stevie, while Dylan decides to tell the truth.

    Director:Jamie Annett
    Writer:Claire Miller

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  2. Casualty Season 45 Episode 2 - Remember Me
    9.0/10(2 votes)

    S45:E2

    When a school collapses, Kim fights to prove herself, while Dylan digs to discover the truth. Faith receives startling news, and it’s time to say goodbye for Nicole.

    Director:Sean Healy
    Writer:Poz Watson

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  3. Casualty Season 45 Episode 6 - Confession
    8.0/10(1 votes)

    S45:E6

    Jacob’s outraged by an injustice, while things come to a head for Dylan and Matty. Siobhan reaches her limit and it’s confession time for Iain.

    Director:Mingyu Lin
    Writer:Amy Guyler

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  4. Casualty Season 45 Episode 7 - Dizzy
    8.0/10(1 votes)

    S45:E7

    The pressure is on for Flynn when the CQC make their return, but will a spiralling Matty and Kim get in the way?

    Director:Conor Morrissey
    Writer:Poz Watson

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  5. Casualty Season 45 Episode 8 - Cold Turn
    8.0/10(1 votes)

    S45:E8

    Iain realises life will never be the same again, Siobhan’s blood runs cold at a discovery, while Dylan steps up for Matty.

    Director:Conor Morrissey
    Writer:Erin Kubicki

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  6. Casualty Season 45 Episode 11 - Replay
    8.0/10(1 votes)

    S45:E11

    As the ED faces a make-or-break CQC inspection, can Kim keep her secret or will she spiral out of control, and will Siobhan’s search for answers lead her to the truth?

    Director:Karl Neilson
    Writer:Claire Miller

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  7. Casualty Season 45 Episode 12 - Words Left Unsaid
    8.0/10(1 votes)

    S45:E12

    As the team gather for an emotional funeral, they prepare to say a final farewell.

    Director:Karl Neilson
    Writer:Michelle Lipton

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  8. Casualty Season 45 Episode 9 - Retribution (1)
    7.0/10(1 votes)

    S45:E9

    Siobhan wrestles with a crisis of morality, Kim continues to keep secrets from Stevie, and Teddy is forced to face what’s important.

    Director:Sarah Esdaile
    Writer:Patrick Homes

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  9. Casualty Season 45 Episode 10 - Retribution (2)
    7.0/10(1 votes)

    S45:E10

    Cam, Indie and Siobhan face the devastating consequences of retribution. Kim’s secret comes close to spilling out, while Iain’s hopes of fatherhood are dashed.

    Director:Sarah Esdaile
    Writer:Toby Walton

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  10. Casualty Season 45 Episode 1 - Sweat and Tears
    6.3/10(3 votes)

    S45:E1

    It’s the hottest day of the year, and the ED’s two new resident doctors are put to the test. Dylan is spooked by his past, while Nicole is reminded of Ngozi.

    Director:Sean Healy
    Writer:Toby Walton

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  11. Casualty Season 45 Episode 3 - Once More, with Feeling
    6.3/10(3 votes)

    S45:E3

    There’s a rude awakening for Flynn when the CQC turn up at the ED. Dylan gets the answers he has been looking for, while Teddy has to confront his feelings.

    Director:Jamie Annett
    Writer:Michelle Lipton

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  12. Casualty Season 45 Episode 5 - Shutting Down
    4.5/10(2 votes)

    S45:E5

    Matty and Kim face their worst nightmare when a training simulation takes a dangerous turn. Faith takes a chance on Iain, while Siobhan shuts down.

    Director:Coilin O Scolai
    Writer:Isla Gray

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Season 45 Ratings Summary

"Picking Up the Pieces" is the best rated episode of "Casualty" season 45. It scored 9.5/10 based on 2 votes. Directed by Jamie Annett and written by Claire Miller, it aired on 1/31/2026. This episode is rated 0.5 points higher than the second-best, "Remember Me".