Royal Pains

10 Best Episodes of Royal Pains - Season 4

A young E.R. doctor who, after being wrongly blamed for a patient's death, moves to the Hamptons and becomes the reluctant "doctor for hire" to the rich and famous. When the attractive administrator of the local hospital asks him to treat the town's less fortunate, he finds himself walking the line between doing well for himself and doing good for others.

Written by Sophie and last updated on jan 06, 2023.

PS: The following content contains spoilers!

PPS: I will admit that parts of this page was written with the help of AI - it makes my work so much easier to not start from a blank page!

Advertisement
Royal Pains - S4E14

#15 - Sand Legs (Season 4 - Episode 14)

Hank cancels his weekend plans after treating an amateur beach volleyball player who he believes may be suffering from more than just a summer bug. Meanwhile, Divya confronts her new boyfriend after a startling discovery.

The episode was rated 7.65 from 113 votes.

Royal Pains - S4E2

#14 - Imperfect Storm (Season 4 - Episode 2)

Advertisement

When Jill’s chess-obsessed nephew gets kicked out of camp for fighting, Hank realizes Luke may be suffering from more than just teenage hormones. Evan courts a young, lonely heiress for his new client roster, and Divya – caught between the brothers -- faces an impossible choice.

The episode was rated 7.69 from 136 votes.

Royal Pains - S4E13

#13 - Something Fishy This Way Comes (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.

The episode was rated 7.79 from 118 votes.

Royal Pains - S4E15

#12 - Off-Season Greetings (1) (Season 4 - Episode 15)

Advertisement

Several months after the events of the explosive summer finale. With the Hamptons decked out for the holidays, Dr. Hank Lawson continues to treat his patients in very unexpected ways, but Hank's biggest challenge will be facing his own medical issues. As the wedding approaches, Evan and Hank head to Las Vegas for some bachelor party fun, while Paige and Divya travel out of town for her bachelorette party. And with a snowstorm descending on the Hamptons, Paige rapidly finds her dream wedding turning into a nightmare.

The episode was rated 7.79 from 139 votes.

Royal Pains - S4E9

#11 - Business and Pleasure (Season 4 - Episode 9)

While HankMed treats an undercover DEA Agent, Divya and Jeremiah tend to a MMA fighter who may have gone a bit soft. Meanwhile, Hank becomes more involved with Boris' interpreter, much to Boris' chagrin.

The episode was rated 7.79 from 121 votes.

Royal Pains - S4E4

#10 - Dawn of the Med (Season 4 - Episode 4)

Advertisement

Hank & Evan's father Eddie makes his return to the Hamptons and schemes to bring his boys back together. Hank has a new patient who is participating in a zombie race for charity. Evan also has a new patient, a retired biochemist with a possibly sinister past.

The episode was rated 7.80 from 124 votes.

Royal Pains - S4E7

#9 - Fools Russian (Season 4 - Episode 7)

Hank is whisked away to a secret meeting in Manhattan by Boris to help care for a stubborn Russian oligarch, and befriends their female interpreter in the process. Meanwhile, Evan and Jeremiah treat an Internet entrepreneur and Divya reconciles with her father.

The episode was rated 7.80 from 130 votes.

Royal Pains - S4E3

#8 - A Guesthouse Divided (Season 4 - Episode 3)

Advertisement

Hank and Evan heatedly compete for a new business opportunity. Meanwhile, Divya attempts to covertly reconcile the brothers' differences.

The episode was rated 7.83 from 122 votes.

Royal Pains - S4E5

#7 - You Give Love a Bad Name (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.

The episode was rated 7.85 from 127 votes.

Royal Pains - S4E12

#6 - Hurts Like a Mother (Season 4 - Episode 12)

Advertisement

While HankMed treats a high-strung student for a bad case of nerves, her easy-going romance novelist mother falls ill as well and Hank must race to diagnose the two seemingly unconnected conditions.

The episode was rated 7.85 from 129 votes.

Royal Pains - S4E1

#5 - After the Fireworks (Season 4 - Episode 1)

Hank embarks on a fresh start with his medical practice and separates from his brother Evan, who also starts his own venture. As Divya attempts to reconcile the brothers, HankMed teams up once more in the face of a Hampton's emergency.

The episode was rated 7.88 from 139 votes.

Royal Pains - S4E6

#4 - About Face (Season 4 - Episode 6)

Advertisement

HankMed treats an absentminded country club manager while Evan, with Paige's help, lands the business opportunity he's always dreamed of.

The episode was rated 7.90 from 140 votes.

Royal Pains - S4E11

#3 - Dancing with the Devil (Season 4 - Episode 11)

When a famous pop star comes to the Hamptons to prepare for her new world tour, HankMed must stay on hand to treat her for more than just exhaustion. Meanwhile, Divya becomes distracted when she falls head over heels for a globe-trotting polo player.

The episode was rated 7.92 from 133 votes.

Royal Pains - S4E8

#2 - Manimal (Season 4 - Episode 8)

Advertisement

Hank and Divya treat a Large Animal Veterinarian going through a bitter divorce while Evan and Paige help a close friend reeling from an unexpected loss.

The episode was rated 7.95 from 135 votes.

Royal Pains - S4E16

#1 - Off-Season Greetings (2) (Season 4 - Episode 16)

(If Part 1 & 2 are separate) Several months after the events of the explosive summer finale. With the Hamptons decked out for the holidays, Dr. Hank Lawson continues to treat his patients in very unexpected ways, but Hank's biggest challenge will be facing his own medical issues. As the wedding approaches, Evan and Hank head to Las Vegas for some bachelor party fun, while Paige and Divya travel out of town for her bachelorette party. And with a snowstorm descending on the Hamptons, Paige rapidly finds her dream wedding turning into a nightmare.

The episode was rated 8.34 from 76 votes.

Search for TV shows...

About Series with Sophie

Welcome to our community!

We are a community of women who are passionate about our favorite series and want to share that passion with others.

Our mission is to create a space where women can discover new content, connect with like-minded individuals, and engage in meaningful discussions about the series we love.

We believe that everyone should have access to reliable and trustworthy information about their favorite shows, and we strive to be the premier destination for women seeking that information. Whether you're looking for recaps, fan theories, or just want to connect with other fans, we've got you covered.

So join us and be a part of our growing community of series enthusiasts!