The Patient Episode 4 Ending Explained: What Happens to Alan and Ellias?

In The Patient Episode 4, we see Sam’s captive being introduced to the audience as Ellias. The entire episode covers the struggle Sam has with killing his prisoner and at the same time listening to his other captive, his therapist- Alan and the struggle all these characters face with compliance.

The Patient is created by Joel Fields and Joe Weisberg with the executive producers being Joel Fields, Joe Weisberg, Steve Carell, Caroline Moore, Victor Hsu and Chris Long. The production companies for the series include Joel Fields Productions, Flim Flam and FXP. The main cast features Steve Carell as Alan Strauss, a therapist and Domhnall Gleeson as Sam Fortner, a serial killer and the new patient of our therapist in question.

Actors Linda Emond plays Candace Fortner along with Laura Niemi as Beth Strauss, Andrew Leeds as Ezra Strauss and David Alan Grier as Charlie Addison. Alex Rich is also part of the cast. The Patient is slated to be ten episodes long with the third episode having a runtime of 23 minutes.

Also Read: When Will Tell Me Lies Episode 4 Release? What Happens Next In Lucy and Stephen’s Bad Romance?

The Patient Episode 4 Ending Explained

Unlike its predecessors, The Patient Episode 4 does not rely on a cliffhanger ending but, rather leaves us with a sad tone and bittersweet anticipation of what happens next. The episode follows Sam’s struggle with keeping his urges in check. The first thing we witness in the episode from Sam’s end is a confrontation he has with Alan about how he can keep his killing impulse under control.

The new captive is revealed as Ellias and Sam is ready to take his life. However, Alan formulates a plan to keep Sam busy and distracted and asks him to go about his normal day by being at work and trying to distract his mind. As Sam is away, Alan strikes up a conversation with Ellias, who is blindfolded and trapped in the other room.

The two talk throughout the day and share things about each other. However, when Sam returns from work at night, it is apparent that he would just get downright to killing Ellias. Alan suggests Sam meet with his ex-wife and as surprising as the suggestion is, it might be able to take Sam’s mind off killing.

Also Read: The Lord of the Rings The Rings of Power Episode 3 Review: The Darkness of Adar

After Sam departs, we see a weak Ellias crying and shivering for the fate of his life. This is when Alan starts singing Country Roads by John Denver to help Ellias with his anxiety and worry. Ellias soon joins Alan in his melody and that is how The Patient Episode 4 comes to an end.

The Patient Trailer

You can watch The Patient Episode 4 now on Hulu. To read our review for the same, click here.

Also Read: Planning to Watch Fate The Winx Saga Season 2? Here’s a Recap of Everything That Happened in Season 1

Manjima Das
Manjima Das
Manjima Das has a writing experience of over 3 years, covering entertainment, fashion, lifestyle as well as community work. She has majored in Psychology with secondary specialization in gender studies and literature.

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Related Articles

The Handmaid’s Tale Finale Reactions: A Mixed End For June Osborne

The Handmaid's Tale Finale is here and fans are divided on their feelings about it!

Fountain of Youth Review: A Mind-Numbingly Boring Adventure

Fountain of Youth Review: This is predictable, annoying and boring film whose unrealistic reality feels like something from the 90s or early 2000s.

The Handmaid’s Tale Season 6 Reactions: Fans Are Stunned By the Latest Episodes!

The Handmaid's Tale Season 6 Reactions are out and fans cannot stop screaming with excitement as the plot thickens with every episode! Read on.

The Four Seasons Review: This Should’ve Been a Movie… Oh Wait

The Four Seasons Review: Unnecessary bickering don't make up for the much-needed drama in this Netflix series.

Dancing with the Stars 2025: Robert Irwin First to Join the Cast, Surprising and Exciting Fans!

Dancing with the Stars 2025 is soon to arrive and the first contestant reveal has already surprised fans everywhere! Read on.