Grey's Anatomy Season 23 Opens With Time Jump and Pregnancy Surprise

Spoilers follow for the Season 23 premiere of "Grey's Anatomy," titled "Collide." The episode brings the drama back to Grey Sloan with a shift in time as well as another emergency.

According to Deadline Hollywood, this is the show's first time jump between seasons in four years. That gives the opening episode a different starting point, rather than picking up immediately where the previous season ended.

Coverage published on October 16 describes a premiere built around two colliding seaplanes. TV Fanatic reported that the collision brings casualties and serious emergencies to the hospital.

The upheaval extends beyond the incoming patients. The Wrap TV reported that the episode includes moral dilemmas, a doctor quitting their job and a surprise pregnancy. The supplied coverage summaries do not identify the departing doctor or the person who is pregnant.

Alongside those plot developments, executive producer Meg Marinis discussed James Wolk's arrival in an interview with Deadline Hollywood. Her premiere interviews also addressed Ellen Pompeo and the potential Texas spinoff, according to The Hollywood Reporter.

The premiere is streaming on Hulu, according to Variety Movies. Season 23 begins with several unresolved personal and professional changes, but the coverage does not establish that it will be the show's last season.

Marinis told The Hollywood Reporter: "No one has said anything to me about when the last season is going to be." That is a statement about what she has been told, not confirmation of another renewal.

The immediate questions are how the pregnancy and the doctor's departure affect life at Grey Sloan, and how James Wolk's arrival fits into the season. The Texas spinoff is also a subject of Marinis's interviews with The Wrap TV and Deadline Hollywood, but the supplied summaries give no production timetable or premiere date.