ABC is expanding the Grey’s Anatomy universe again — this time, with a rural West Texas spinoff.
Deadline confirmed on Tuesday, May 19, that ABC has given a straight-to-series order to the untitled medical drama. The series will be co-created, written and executive produced by Shonda Rhimes and Grey’s Anatomy showrunner Meg Marinis. Star Ellen Pompeo also is executive producing the new offshoot, which will premiere midseason 2027.
The spinoff is described as “an edgy drama about a team at a rural West Texas medical center — the last chance for care before miles of nowhere,” according to the outlet. This would be the fourth series in the franchise following Private Practice and Station 19,.
The upcoming series is also the first offshoot not focused on a series regular character from Grey’s Anatomy after Kate Walsh’s Addison headlined Private Practice and Jason George’s Ben was at the center of Station 19. Instead, it will be built around a new group of doctors but would likely be connected to Grey’s via one or more characters — potentially Debbie Allen’s Catherine Fox.
“I am incredibly excited to expand the Grey’s Anatomy universe,” Marinis 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.”
Deadline noted that it has not been determined whether Marinis will serve as showrunner across both Grey’s shows. Her predecessor Krista Vernoff previously ran both Grey’s Anatomy and Station 19 at the same time.
Season 22 of Grey’s Anatomy, which wrapped earlier this month, faced plenty of cast shakeups as Amelia (Caterina Scorsone) previously chose to take a sabbatical after the shocking death of her colleague Monica (Natalie Morales). It was subsequently reported that Scorsone’s break would last until the end of 2025 in an attempt to cut costs.
The show previously reduced the minimum guarantees for its veteran cast members to 14 out of its 18 episodes per season. While some of Grey’s Anatomy‘s consistent stars were missing for four episodes, Scorsone’s absence was doubled.
Showrunner Meg Marinis previously hinted that not every character would be safe as the story continued.
“But even in the last two seasons with what you saw this year, we had to reduce the cast a little bit [because of industry-wide budget cuts], and everybody has very passionate feelings about their favorite characters,” Marinis told The Hollywood Reporter in May 2025. “But if we can get the writers upset then we know we’re doing it right. It’s not as satisfying a story if people aren’t upset when someone leaves. It’s supposed to make people upset and sad, so I’m sure there’ll be some arguments. But I’ve been persuaded before to change my mind on things.”
Before season 22 came to an end earlier this month, Kim Raver and Kevin McKidd exited the show.
Grey’s Anatomy is streaming on Hulu.
