Grey’s Anatomy Season 23 Episode 1 Ending Explained: Is Simone Pregnant, Who Is The Father And Why Did Jo Quit?

Grey’s Anatomy Season 23 is off to a dramatic start. The premiere, titled Collide, brings a plane disaster, a major hospital shake-up and three big personal developments. Jo Wilson quits Grey Sloan, Simone Griffith discovers she is pregnant and Amelia Shepherd makes a desperate attempt to win Toni Wright back.

The episode picks up about a month after the Season 22 finale. With Owen Hunt and Teddy Altman gone, Grey Sloan is already facing leadership changes. But the opening of its new VIP wing soon creates another crisis. Two planes collide at the airport just as the hospital prepares to celebrate its new Olympic Floor. As doctors rush to treat the injured, their personal lives begin to unravel.

Here’s what happened in the Grey’s Anatomy Season 23 Episode 1 ending and what it could mean for the rest of the season.

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Is Simone Pregnant On Grey’s Anatomy Season 23?

Yes, the premiere ends with Simone looking at a positive pregnancy test. The news comes at a complicated time for her love life. Simone has chosen Wes over Lucas Adams, but her feelings and history with Lucas continue to complicate matters. Earlier in the episode, she accidentally walks in on Lucas in the shower and asks him for space. She tries to convince herself that her future with Wes is secure. Then the positive pregnancy test changes everything.

Who Is The Father Of Simone’s Baby: Lucas Or Wes?

Lucas could be the father of Simone’s baby. The two slept together once, making him a possible candidate. However, the premiere does not confirm paternity.

Simone is currently with Wes, which makes the situation even more complicated. If Lucas is the father, she will have to confront the history between them while figuring out what her pregnancy means for her current relationship.

Why Did Jo Wilson Quit Grey’s Anatomy?

Jo Wilson’s decision to quit Grey Sloan is another major moment in the Season 23 premiere. Jo has been struggling since the events of last season and is working through her trauma with a therapist. The plane disaster pushes her further into an already difficult emotional place.