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Grey’s Anatomy Spinoff Moves Forward With Rural West Texas Setting

Showrunner Meg Marinis says the untitled series will focus on small‑town medical care and is reported to be targeting midseason 2027.

Overview

  • Meg Marinis confirmed development is active and that she is co‑creating the spinoff with Grey’s creator Shonda Rhimes after the Oct. 15 season premiere.
  • The series is set at a medical center in rural West Texas and will foreground care in small towns that lack easy access to hospitals.
  • Marinis said characters from Grey’s Anatomy will appear in the new show and that new cast members are likely to be introduced via episodes of Season 23.
  • No public casting, official title, or firm premiere date has been announced and reports that Season 23 could be shortened to free schedule space remain unconfirmed.
  • The project follows two prior Grey’s spinoffs, Private Practice and Station 19, and could affect ABC’s Thursday lineup and actors’ schedules if it launches in midseason 2027.