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The Best Episodes of 'Royal Pains'

Updated June 2, 2020 719 votes 36 voters105 items

There are so many good episodes of Royal Pains, but which ones really stand out? Do you like "Lending a Shoulder" the best, or is "Lawson Translation" your favorite episode of Royal Pains? To determine once and for all what the best episodes of Royal Pains are, let's rank every Royal Pains episode from best to worst.

Starring Mark Feuerstein, Paulo Costanzo, and Jill Flint, Royal Pains follows Hank Lawson, a wrongfully-dismissed New York ER doctor who faces a crossroads between helping the wealthy in the Hamptons as a "doctor for hire" or helping those less fortunate. Royal Pains premiered on USA Network on June 4, 2009 and concluded after eight seasons on July 6, 2016. The series received nominations in 2012 at the Young Artist Awards and People's Choice Awards.

Vote up your favorite episodes of Royal Pains, and downvote any bad episodes that you really didn't enjoy, despite how much you love the series as a whole. It can be painful to put one Royal Pains episode over the other when there are so many good ones, which is why you can vote on however many episodes you like. Be sure to also check out our list of other shows like Royal Pains!

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  • 1
    Season 7 Episode 7: Hank helps Boris prep a secret patient for surgery as Evan tries to chase a bad omen out of the hospital.
  • 2
    Season 1 Episode 11: While in New York to learn more about Boris' mysterious disease, Hank discovers the Gardner family is attempting to strip him of his medical license.
  • 3
    Season 6 Episode 2: Hank worries a rising tennis star's health may prevent her from taking her career to the next level, while a fellow pro at her club may have fallen ill from an unexpected source. Later Hank and Evan adjust to a startling revelation about Eddie's past. And Evan and Paige reach a new milestone. Elsewhere Jeremiah finds peace in an odd place.
  • 4
    Season 4 Episode 15: It's the holidays in the Hamptons! But an impending blizzard may derail Evan and Paige's wedding plans. Also, someone takes a big gamble on the future and a face from Hank's past triggers memories for Hank and Evan.
  • 5
    Season 5 Episode 8: An unexpected visitor and a major auction at Shadow Pond thrust Hank, Evan, and Paige into an unfamiliar, high-stakes world that requires them to pull together like never before.
  • 6
    Season 2 Episode 18: Hank believes his patient has been previously misdiagnosed and is determined to find out what he really has. Meanwhile, Divya and Raj prepare for their upcoming nuptials by taking dance lessons, but wind up as patients.
  • 7
    Season 7 Episode 8: Hank runs into his ex-fiance Nikki and has a startling revelation.
  • 8
    Season 5 Episode 3: Hank and Evan heatedly compete for a new business opportunity. Meanwhile, Divya attempts to covertly reconcile the brothers' differences.
  • 9
    Season 8 Episode 8: Boris prepares to leave the Hamptons and asks Hank to join him. Hank treats Libby, who is ignoring alarming symptoms. Evan & Paige dramatically grow their family. Divya gets long-awaited news.
  • 10
    Season 7 Episode 4: Hank treats a transgender teenager and learns her life is more complicated than he expected. Evan and Jeremiah host a gala fundraiser for the Center for Rare & Orphan Diseases and Jeremiah makes a major purchase for the lab.
  • 11
    Season 1 Episode 6: Hank quarantines guests at a "bark mitzvah" after some come down with a serious disease, which causes him and Jill to debate whether or not to call County Health.
  • 12
    Season 2 Episode 5: Hank saves the hand of one of Cuba's dissidents, and works desperately to save Boris when his health quickly fails as a result of Marisa's treatment. Divya continues to clash with Dr. Peck over the way she practices medicine.
  • 13
    Season 4 Episode 13: Hank must travel across the globe to help an injured Dmitry. Meanwhile, Evan and Paige meet a woman claiming to be Paige's biological mother.
  • 14
    Season 2 Episode 12: Hank treats a chatty socialite who disappears before he can diagnose her. Meanwhile, Divya is called to Adam's estate and finds herself surprised at how scared she becomes when his health begins to fail.
  • 15
    Season 3 Episode 13: When a back problem limits Hank's ability to treat patients, Evan hires Dr. Van Dyke as a temporary replacement. Guest Stars: Tom Cavanagh, JoAnna Garcia Swisher, Christine Ebersole, Kyle Howard.
  • 16
    Season 4 Episode 5: Hank and Divya treat a matchmaker who's intent on setting each of them up. Also, while Evan tries to rein in HankMed 3.0, Paige plans a small kick-off party that turns out to be anything but small. Guest Stars: Henry Winkler, Brooke D'Orsay, Christine Ebersole, Kyle Howard, Anna George, Ben Shenkman, Kat Foster, Judy Greer, Michael B. Silver.
  • 17
    Season 1 Episode 7: Hank and Divya treat a Spanish spitfire involved in an accident whose injuries are more serious then they appear. A dream job offer from Boris brings Jill's childhood friend Katie back to the Hamptons, but tempers flare when Hank learns Boris has been keeping a dark secret. And the arrival of Divya's fiancé causes to her to rethink their relationship.
  • 18
    Season 2 Episode 1: Hank and Divya treat the heir of a famous inventor whose desire to distance himself from his father puts him in harm's way. Meanwhile, Jill's job at Hamptons Heritage is threatened when her mentor starts proceedings to have her fired. Marcia Gay Harden guest stars.
  • 19
    Season 6 Episode 3: Hank, Evan, and Paige try to help Eddie forge a relationship with Emma. Elsewhere, finding an amazing nanny helps alleviate Divya's anxiety about returning to work full-time.
  • 20
    Season 6 Episode 11: Divya and Jeremiah work together to treat Sloane, a model with an eating disorder.
  • 21
    Season 7 Episode 1: Hank helps a TV host who is off her game and takes a big step in his personal life.
  • 22
    Season 7 Episode 6: Keller calls Hank for help when he suffers an embarrassing medical problem, but Hank believes Keller's new girlfriend may be affecting his health in more ways than one.
  • 23
    Season 3 Episode 1: HankMed saves the passengers of a toppled Jitney. Hank later treats a young woman involved in the accident with seemingly unrelated symptoms, that have a more severe cause than her extreme anxiety.
  • 24
    Season 4 Episode 4: Eddie returns to the Hamptons, intent on reuniting his boys by using his new philosophy of life. Also, Hank treats a young, energetic couple planning a unique charitable fundraiser.
  • 25
    Season 3 Episode 12: When a mysterious illness overcomes the members of an up and coming rock band, Hank and Divya have to work together to find the cause; but Hank struggles with trusting Divya after her near fatal prescription error. Guest Stars: Tom Cavanagh, Brooke D'Orsay