The fall finale of Chicago Med Season 11 is here, and this episode leaves the viewers on a cliffhanger. Episode 7, titled Double Down, is tense from the opening scene. A storm rolls through Chicago. A nightmare jolts Asher awake, and inside the ED, the night spirals into one of the show's most emotionally loaded hours of the season. Elsewhere, Caitlin Lenox deals with a suspicious patient, and ultimately, her fate seems to hang by a thread.The fall finale leans into grief, exhaustion, and those pivotal snap-second decisions. Below is the full recap of the fall finale of Chicago Med Season 11.Chicago Med Season 11 Episode 7 recap: Asher, Archer, and the Lockharts' impossible choice View this post on Instagram Instagram PostThe seventh episode of Chicago Med Season 11 anchors itself in heartbreak from the get-go. Jeremy Lockhart arrives in rough conditions, his pregnant wife, Esme, by his side, terrified and out of breath. Archer and Kingston rush in with updates that no couple wants to hear: Jeremy's cancer has stopped responding to treatment. The prognosis shrinks to mere weeks. Maybe a month. Nowhere near to meet his child.Esme pleads for a solution. Something that will buy her husband some time. Her desperation cuts through the chaos around them. Inducing early labour isn't possible. The risks outweigh hope. So Archer and Kingston propose a surgical procedure that could stabilize Jeremy, even if it alters the short time he has left. Esme agrees, and the procedure starts. However, the storms outside knock out the power, and panic and chaos hit the operating room. Asher provides emotional support to Esme. Two women are trying to hold onto courage as their worlds seem to collapse.Chicago Med Season 11 Episode 7 recap: Charles and Rabari clash, and Frost's flirtation View this post on Instagram Instagram PostThe storm isn't the only thing rattling the hospital; Dr. Charles' latest case with Angelica leads him into conflict with Dr. Theo Rabari, yet again. The two disagree on the diagnosis strategy. Again. This time, Charles pushes to take the lead on results, even asking Frost to call him first.When Angelica's MRI reveals vitamin A toxicity linked to glitter-heavy gymnastic products, the two doctors finally find common ground. Charles admits something is wrong. A rare moment of vulnerability from him, and the scene lands with quiet impact.Meanwhile, Frost's awkward flirtation tangle grows messier. He flirts with Novak and asks for her number. Novak jokingly scratches 911 on his hand. Meanwhile, Howard confesses to Frost that she liked him, but adds that she is rooting for his relationship with Novak. Confusing, isn't it?Chicago Med Season 11 Episode 7 recap: Lenox crosses a line View this post on Instagram Instagram PostLenox arrives in the ED fired up. The department is flooded after a nearby hospital's evacuation, and she dives into Ripley's case with reckless speed, literally cutting a pacemaker out of a patient's chest.Then a familiar face upends everything. It's Devon Carter, the abusive husband from earlier in the season. He claims injuries from a random accident, but Ripley and Lenox know better. When Devon's story cracks, Lenox ignores every warning, including Ripley's, and pulls Faye's (Devon's wife) address. She heads to the house alone.The sequence that follows is pure adrenaline. Lenox breaks through the window after spotting blood on the ground. She searches the house. Down in the basement, she finds Faye barely conscious and coughing blood. She races upstairs to call for help when she finds a door banging. Turns out it's just the stormy winds. However, as soon as she turns, she finds Devon standing with a gun in his hand.Chicago Med returns in January 2026, and the wait is going to feel long, especially about Lenox's fate. The storm hit the city, but it looks like the aftershocks are about to hit Gaffney Memorial.Also read: Chicago Med Season 11 cast and character guide: Meet the returning and new actors in the procedural dramaFollow SoapCentral for more such updates on Chicago Med Season 11.