The reformed bad boy has spent years weaseling his way into the deepest vessels of our hearts.
While his defense attorney tries unsuccessfully to fight the initial charge, Karev enters into a not-guilty plea.
Speaking of drama, April Kepner is teaching a lesson in breakdowns from the comfort of her hospital bed.

Credit: ABC/Byron Cohen
Still fiercely defending Karev and sticking by his side, Mer scrubs in on the surgery in his place.
She offers him the chance to do just that helping out on Zachs surgery and he accepts.
The surgery is successful and Zach is able to keep his new kidney.

Maggie speed-walks away and heads home, where Alex and Meredith are drowning their sorrows and commiserating.
Despite Jos instance that shes fine alone, Stephanie stays, settling in for a night with her friend.
Also potentially getting a new roommate?