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This week’s episode of Grey’s Anatomy brought out all the old tropes from the show’s past 13 seasons and then some. While Meredith’s voice-over intro was all about jokes and joy, it should have been about predictability and sameness.

We watched as one patient waited for a liver transplant, while in the room next to her was another patient who needed, guess what, a liver transplant. Just down the hall from the two failing livers was a third patient who was just optimistic and charming enough to guarantee that he wouldn’t make it out of surgery alive, but at least he, unlike most of the cast during this episode, was useful and donated his kidney.

Meredith and Riggs made sure to get in their obligatory flirtation scene, which felt like it was thrown in just to make sure we didn’t forget their love triangle with Maggie. Gee, we wonder if that will blow up?

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CTV

Bailey enjoyed about five minutes of happiness before having that sucked away by Meredith, because as we’ve seen in 13 seasons, no one here is allowed to have nice things.

For a little comedic relief, Owen took over daddy duties, frustrated that he couldn’t get Avery and Kepner’s baby Harriet to stop crying. He must be bad with babies! Or, he’s holding a baby. They cry. That’s their thing. Also, aren’t doctors supposed to be busy? The guy literally did zero work all day.

We did move along one fence post in the mending of Owen’s relationship with Riggs, with the two men remembering Owen’s late sister Megan before doing their best Two Men and a Baby routine.

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CTV

Then there was Amelia’s pregnancy. Everyone on Grey’s Anatomy is supposedly a doctor, yet there is still some mystery surrounding colic, and how long it takes to get pregnant. About five minutes after deciding to pull the goalie, Amelia is three days late and quickly gets to work throwing her own baby shower, much to the annoyance of Meredith, who was tricked into engaging in human contact with her sister-in-law.

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CTV

Unable to decide whether to buy Owen an ‘I love it when you call me Big Poppa’ shirt now or wait, Amelia’s mind is made up when she walks by a woman on the phone telling her husband she’s pregnant. Because of course.

Amelia’s candlelit presentation of the unused pregnancy test and Owen’s reaction of rambling excitement and mental redecorating of their house made the negative results of the test visible from about a mile away.

Even with all the predictability in this week’s episode, we did get one shocking bombshell, courtesy of Amelia revealing to Kepner that she was pregnant when her boyfriend died from an overdose. Dang.

We’ve learned pieces of Amelia’s drug past throughout her time on the show, but this truth bomb gives even more weight to her already heartbreaking history that includes losing her boyfriend to drugs. With ‘doctors’ looking photoshoot-ready after 24 hour shifts, it’s easy to forget sometimes that they represent flawed and real characters.

Grey’s Anatomy airs Thursdays at 8 p.m. ET on CTV