: Rome supports a student in distress (Maddox) and makes a personal sacrifice to help him.

: After initially fearing their IVF attempt failed, the couple learns they are actually pregnant.

: Tyrell prepares to head to Yale after resolving his hesitation about leaving Gina and Rome. Release Details Title : " Just in Case " (Season 4, Episode 20).

: In a devastating twist, it is revealed that Gary’s cancer has returned as a mass in his lung, and he has been secretly undergoing chemotherapy.

The season 4 finale of A Million Little Things , titled originally aired on May 18, 2022. This episode serves as a major emotional turning point for the series, featuring significant character developments and a dramatic cliffhanger regarding Gary’s health. Key Plot Developments