[Spoiler] “Resident Playbook” Finale: From 1% Ratings to a 10% Triumph in Real Medical Drama

The highly anticipated final episode of tvN’s medical drama Resident Playbook aired on May 18, concluding the series on a high note with a perfect blend of heartfelt romance, personal growth, and the challenging realities of hospital life.

After overcoming earlier low ratings and mixed reviews for preceding tvN shows, Resident Playbook soared to an impressive 10% viewership in its finale, marking a triumphant success for the network.

Record-Breaking Viewership and Emotional Closure

The finale achieved a metropolitan average rating of 8.6%, peaking at 10%, and a national average of 8.1%, reaching as high as 9.2%, topping all programs during its timeslot across cable and terrestrial channels. It also led the key 2049 demographic with ratings between 4.5% and 5.2%, underscoring its broad appeal among younger viewers.

The series followed five first-year obstetrics and gynecology residents: Oh Yi-young (Go Youn-jung), Pyo Nam-kyung (Shin Si-ah), Eom Jae-il (Kang Yoo-seok), Kim Sa-bi (Han Ye-ji), and Goo Do-won (Jung Joon-won)—as they faced the emotional rollercoaster of life, death, and growth within the demanding hospital environment of Jongno Yulje Medical Center.

Goo Do-won’s Thoughtful Surprise and Yi-young’s Journey of Growth

One of the most memorable moments came when Goo Do-won planned a subtle but heartfelt surprise for Oh Yi-young. After a grueling shift, Yi-young vented her frustrations in Do-won’s car, including the disappointing news that her lottery “win” had expired. But the emotional rollercoaster ended with her discovering a bouquet and, hidden beneath the seat cushion, a ring. Do-won quietly expressed, “Because I like you,” placing the ring on her finger and sealing their romance with a tender kiss. This scene beautifully closed their love arc with warmth and sincerity.

Earlier, Yi-young had confided in her mentor Seo Jung-min (Lee Bong-ryeon) about her fear of making mistakes that could harm patients. Seo Jung-min’s heartfelt praise—comparing Yi-young to herself as a first-year resident—was a rare and validating compliment, reinforcing Yi-young’s growth both professionally and personally. However, Yi-young stunned her fellow residents by announcing her plan to quit medicine after her current term, adding complexity and realism to her character’s story.

Sa-Bi and Jae-Il: Opposites Attract?

The finale also explored the evolving relationship between Pyo Nam-kyung and Eom Jae-il. Jae-il showed his dedication to a lonely cancer patient, spending nights by her side to ease her pain. Sa-bi, initially skeptical about their compatibility, softened over time and even helped find a solution that relieved the patient’s suffering, revealing growth in both characters. Their banter ended with Sa-bi admitting she wants to date Jae-il only after getting to know him better—a promising start to their relationship, though the show leaves their future open-ended.

Nam-Kyung’s Emotional Journey: Life, Death, and New Beginnings

Nam-kyung’s storyline poignantly captured the cycle of life in medicine. She re-encountered her first patient, Ms. Yeom, now critically ill in the emergency room. With no beds available, Nam-kyung stayed by her side, playing her favorite hymn and offering comfort until Ms. Yeom peacefully passed away on New Year’s Day. Though Nam-kyung remained composed around the patient’s guardian, she broke down privately while completing the death certificate.

Shortly after, Nam-kyung rushed to assist with an unexpected delivery, successfully helping bring a baby into the world with guidance from gynecologist Yang Seok-hyeong. This moment of new life juxtaposed beautifully with the loss she had just experienced, highlighting the emotional highs and lows doctors face daily.

Career Crossroads and New Professorship

In a surprising and meaningful decision, Professor Seo Jung-min appointed Choo Min-ha (Ahn Eun-jin) to a faculty position over Myeong Eun-won (Kim Hye-in). Seo Jung-min valued Min-ha’s focus on the learning process rather than just results, making her an ideal professor and hinting at her increased importance in potential future storylines. Meanwhile, Do-won continued to quietly support Yi-young, giving her a ring as a promise rather than a proposal, symbolizing his affection and commitment.

Yi-young’s Lottery Disappointment and New Year’s Realities

Though Yi-young initially celebrated winning the lottery on December 31st, she later discovered the claim deadline had passed, dashing her hopes of an easy way out. Despite this setback, her happiness comes from a fulfilling career and deep friendships at Jongno Yulje Medical Center. The episode closes on a hopeful note as Yi-young walks confidently back into the noisy second-year resident room, now a changed and content person who loves her job.

The finale of Resident Playbook masterfully balanced joyous romance, challenging career decisions, and the emotional realities of life as a resident doctor. Each character faced important crossroads, showing that healing extends beyond patients to include understanding oneself and growing through hardship. With heartfelt goodbyes and hopeful new beginnings, the drama delivered a satisfying conclusion that resonates with both medical professionals and general audiences.