The next episode of Chicago Med, titled Spill Your Guts, arrives on Wednesday, February 4, 2026. The show airs on NBC at 8:00 PM Eastern Time and 7:00 PM Central Time. As the twelfth episode of the eleventh season, this installment moves several major character stories forward.
How to Watch Chicago Med Episode 12 Worldwide
For viewers in the United States, Spill Your Guts will first be available on the NBC television network at the scheduled time. The episode will be available for streaming on Peacock the day after it airs on NBC. This is the standard release pattern for all new episodes of the show.
International fans can watch new episodes through various services. In Canada, new episodes typically air on Citytv. In the United Kingdom, past seasons have been available on Sky Witness and the streaming service Now. For viewers in Australia, the series has historically been available on Foxtel and the streaming platform Binge. Specific international broadcast details for Season 11, Episode 12, should be confirmed with your local provider as the airdate approaches.
What to Expect in the Spill Your Guts Episode
The episode focuses on three main stories involving key staff members at Gaffney Chicago Medical Center. Dr. Daniel Charles takes on a mentoring role, shadowing three medical students for a day. This plot will likely explore his teaching methods and how he handles the pressures of guiding the next generation of doctors.
Hospital administrator Sharon Goodwin prepares for and attends a crucial board meeting. Her storyline often involves navigating hospital politics and funding, and this high-stakes meeting could have significant consequences for the ED. Meanwhile, Dr. John Frost is set to confront issues from his past. Frost, a former television actor turned doctor, has a complex history that continues to affect his present.
The Main Cast Returning for Episode 12
The core medical team returns for this episode. The main cast includes Steven Weber as Dr. Dean Archer, Jessy Schram as Dr. Hannah Asher, and Luke Mitchell as Dr. Mitch Ripley. Sarah Ramos plays the E.D. Chief, Dr. Caitlin Lenox, and Darren Barnet portrays Dr. John Frost.
The senior leadership at Gaffney is represented by S. Epatha Merkerson as Sharon Goodwin and Oliver Platt as Dr. Daniel Charles. Recurring cast members who may appear include Brennan Brown as neurosurgeon Dr. Sam Abrams and Ashlei Sharpe Chestnut as Dr. Naomi Howard. The episode is directed by Gonzalo Amat and written by Conor Patrick Hogan.
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Background on Recent Episodes and Character Arcs
The previous episode, Our So-Called Lives, which aired on January 28, 2026, provided important context for ongoing relationships. A central moment involved Dr. Mitch Ripley and his late best friend’s wife, Lynne Murphy. They met to honor the one-year anniversary of Robert Sully Sullivan’s death from lung cancer. During their meeting at Wrigley Field, Lynne encouraged Ripley to pursue his feelings for E.D. Chief Caitlin Lenox, noting a clear chemistry between them.
“Sully was the best bad idea I’ve ever had,” Lynne told Ripley, advising him that if he cared for Lenox, he should tell her.
This conversation seems to have had an effect. Earlier in the season, Ripley and Lenox shared a moment of connection in a hospital supply closet, brought together by mutual experiences with trauma. This developing relationship is a key thread as the season continues. Other ongoing stories include the pregnancy of Dr. Hannah Asher, who is expecting a baby with Dr. Dean Archer, and the professional challenges facing Sharon Goodwin.
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