St Denis Medical season 2 episode 4 ending explained: Does Matt win the Gentle Heart Award?

St Denis Medical season 2 episode 4 ending explained: Does Matt win the Gentle Heart Award?
St Denis Medical season 2 (Custom cover edited by Sportskeeda, original image via YouTube/NBC)

St Denis Medical season 2 episode 4, titled Two Docs, One Conf, was released on November 17, 2025, exclusively on NBC. The episode revolved around various team-ups alongside ulterior motives as Ron bonds with Bruce while Joyce tries to show her love for the nurses with hilarious consequences.

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Disclaimer: The following article contains spoilers from St Denis Medical season 2 episode 4. Reader's discretion is advised.

The episode kicks off yet again with Joyce and her roundabout but misguided attempt to show the nursing staff her appreciation, but instead that takes a turn. However, the focus of the episode ended up being the Gentle Heart Award, with most of the nurses expecting Alex to win it. She has won the award for the last seven consecutive years, but she decides to vote for Matt to break her streak.

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And over the course of the episode, Matt becomes the frontrunner to win the award thanks to some campaigning by Alex, even though she was trying to get votes for herself. Not only that, but through a comedic series of errors by Alex, Matt’s popularity goes even higher, and he soon becomes neck and neck with her for the award.

By the end of the episode, with the votes from the nursing staff tallied, it showed that the two were tied, with Alex the last person to vote. That’s when her competitive nature takes over and she votes for herself, securing her eighth consecutive Gentle Heart Award victory in St Denis Medical season 2 episode 4.

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Alex and Matt battle it out for the Gentle Heart Award before she shows off her claws

"St. Denis Medical" Screening - New York Comedy Festival (Image via Getty)
"St. Denis Medical" Screening - New York Comedy Festival (Image via Getty)

In St. Denis Medical season 2 episode 4, the hospital celebrates Nurse Appreciation Week, and a special focus thus goes to the Gentle Heart Award. The award recognizes outstanding nursing by a member of the staff, and Alex has dominated the award, winning it seven years in a row. However, she tells Matt, early on in the episode, that this year she plans on voting for him, in what appears to be a generous gesture.

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Not only that, Alex tells everybody on the staff as well before telling the documentary camera crew following the staff around that Matt deserves a vote, only one vote. But things take a turn as his popularity soon skyrockets thanks to Alex’s interference and her attempt to drum up votes for herself. She makes up a few stories about Matt, which earns him sympathy.

Not only that, but she also assigns him to a patient named Nadine, who she thought had bowel issues in St Denis Medical season 2 episode 4. Instead, it turns out Nadine was pregnant; Matt found out and delivered the baby, further improving his standing among the staff, especially after the patient named the child Matt after him.

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By the end of the day, Alex and Matt are tied on votes, with only Alex's vote remaining uncounted. And her competitive spirit takes over as she ruthlessly votes for herself, winning her eighth consecutive Gentle Heart Award in the process in St Denis Medical season 2 episode 4.


Ron and Bruce bond in misery during a conference in St Denis Medical season 2 episode 4

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For the first time this season, the show takes viewers outside the hospital walls as Bruce and Ron attend the annual Forest Hill Medical Conference. For Ron, this was the closest thing to a vacation he gets, and he unleashes a different personality during these conferences, priding himself on his professionalism. Not only that, but he also uses the event as a way to escape from hospital stress.

And this particular year is extra exciting for him, as there’s a newly divorced doctor who he’s interested in. But that was until he realized Bruce was attending the same conference, and things took a turn as the younger doctor had his own plans. He proceeds to cancel Ron’s reservation, books them into a suite together, and things only escalate from there.

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He steals one of Ron’s jokes and then uses it, earning appreciation from the crowd; he starts flirting with the divorced doctor, and then he throws a party in St Denis Medical season 2 episode 4. However, for Bruce, that’s where things take a bad turn, as after drinking two glasses of wine, he gets extremely drunk and begins to act out.

He attempts to climb a cupboard, nearly manages it, only to fall down and break a table in the process. It shows Ron that there was more under the cocky and arrogant doctor than he expected, marking a turning point in their relationship in St Denis Medical season 2 episode 4.

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Interested viewers can watch St Denis Medical season 2 episode 4 on NBC.

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