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EDIT: Big thanks to Fay for updating the site with this article that does a pretty good job of naming the most memorable relationships/hookups Alex has had in the eight seasons of Grey’s Anatomy. I apologize to Fay for hijacking her post but the inaccuracies in this article drive me a little crazy (LOL) and so I’ve done some small corrections to it.


He might not have the best hair or the best abs, and he might not have a sexy “Mc” nickname, but Grey’s Anatomy’s Alex Karev (Justin Chambers) has always been a ladies man … and a bit of a man whore.

From the days when he hit on everyone to the time he cheated on Izzie (Katherine Heigl), Alex has proven over and over again why he is a perpetual bachelor. However, none of this is to say that he’s a bad guy. Sure, he has his flaws, but underneath his tough exterior, there’s a very sweet side to our favorite jackass. Let us all remember: Izzie left him. But then again, he did get her fired. No, he didn’t. Izzie thought he did but she came to her senses later on.

Regardless, all of that is coming to a head (and then an end) in Season 9 as we’ve learned that Alex will embark on a number of new sexcapades before finally finding the love of his life. To honor this occasion, we’re taking a look back at the women of Alex’s past, or at least the women that we actually met.

Nurse Olivia (Sarah Utterback): Also known as the woman who Alex cheated on Izzie with and then gave syphilis. Who says chivalry is dead?

Addison (Kate Walsh): Their time in the on-call room might not have been particularly meaningful, but if you think about it, they were kind of the perfect match.

Callie (Sara Ramirez): Nobody knew about the Callie-Alex hook-up until WAY after it happened, but apparently the pair got it on in, like, Season 2, before Callie was George’s (T.R. Knight) Mrs. and way before she was a sexy attending with a killer singing voice and a thing for women.

Jane Doe/Eva Ava/Rebecca (Elizabeth Reaser): Everyone remembers Jane Doe. Alex saved her from the ferry crash and was her only friend when she lost her memory and had to have her entire face reconstructed. They seemed like an adorable couple up until she got her memory back and remembered that she’s a little (or alot) crazy. Her mental struggles brought up childhood issues for Alex … as did her suicide attempt (which sent him crying into Izzie’s arms).

Lexie (Chyler Leigh): Lexie and Alex just kind of stumbled into each other. They started as friends with benefits (if you can call them friends), but after reuniting in Season 6, they got a little more serious. When Alex was shot, Lexie professed her love, but it turns out that she didn’t mean it. And he spent the whole day thinking she was Izzie. Needless to say, they didn’t last much longer.

Izzie: How do we describe this rollercoaster? Here goes nothing: After Alex didn’t kiss Izzie on the first date, he lost his shot. Then, she gave him a second shot, which he blew when he cheated on her with Olivia. THEN they both got tangled up in other people for a couple of seasons before they got together for realz in Season 5. And by for realz, we mean married. But after Izzie (sort of) beat cancer, and Alex got her fired and got fired thinking Alex was responsible, she left him. THEN she came back and proceeded to tell Alex how she couldn’t forgive him for something he didn’t even do before leaving again. THEN she came back, and he told her that if she was going to leave, she needed to stay away. That was the last we saw of Izzie. Whew, we’re glad that’s over.

Reed (Nora Zehetner): We know they were never actually a thing, but it wasn’t for a lack of effort on Reed’s part. Quite frankly, we had to include Reed because Alex cried in front of her, which is like proposing in Alexland.

Lucy (Rachael Taylor): His most recent dating adventure, Alex gave it a go with the hospital’s newest hot blonde. But when she decided to manipulate him into snitching on Meredith (Ellen Pompeo) — think clinical trial — and then (Say what? Lucy didn’t even know that Meredith tampered with the clinical trial) proceeded to steal his Africa fellowship job. (Alex was still a 4th year resident. A doctor can only start a fellowship after completing residency. Alex will begin a fellowship in Pediatric Surgery in season 9 after completing a General Surgery residency last season), let’s just say that it put a damper on the relationship.

That one patient in the bathroom at Joe’s (Roxanne Hart): We all remember the moment when the lung-cancer-patient-turned-cougar invited Alex to the bathroom at Joe’s … and he accepted. Classy move, Karev. Real classy.

[Insert hot blonde(s) here]: How many more women will Alex add to this list before he finally settles down? And what do you guys expect from the woman who finally makes him happy? Blonde? Big boobs? Or the exact opposite?

If we’ve learned anything from this trip down memory lane, it’s that Alex definitely has a type: women. Oh, and he prefers that they have, you know, two X chromosomes.

Grey’s Anatomy Season 9 will premiere on Thursday, September 27 at 9 p.m. ET/PT on ABC.

6 Responses to “Grey’s Anatomy Romance: The Many Women of Alex Karev”
  1. Josie says:

    Alex did get her fired? Oh please!

  2. Diana says:

    Not only that but Lucy manipulated Alex into snitching on Meredith? Have I been watching some other version of Grey’s Anatomy? I’m pretty sure Lucy didn’t even know about Meredith’s scheming.

    I don’t like that Wetpaint site. The articles are poorly written, have inaccuracies and they twist spoilers and other info into things that they’re not and many fans take them as fact. Not to mention some of the polls and topics they cover are just plain dumb.

    This article in particular does a good job of naming the more well-known women Alex has hooked up with in the past. It’s too bad the writer didn’t remember some of the details correctly. 🙄

  3. Diana says:

    OK, I did some corrections to the article. I still left a few like

    “Nurse Olivia (Sarah Utterback): Also known as the woman who Alex cheated on Izzie with and then gave syphilis.”

    It’s the other way around. Alex gave Olivia syphilis first. Later on, when they were both cured (LOL) they hooked up again when Alex was sort of seeing Izzie.

  4. Willa says:

    I can’t wait to see next season. I hear he get a new main love interest. The video channel do not see to be working :o(

  5. Diana says:

    Hi Willa! 🙂
    Yes, if Shonda keeps her promise Alex is going to meet his true love. Finally! His career is on track now the guy needs some lovin’ ! 😆

    Thank you for letting us know about the video archive. I noticed it was down a while ago. Fay is the one who can fix it but she’s been busy. I’ll check in with her to remind her/see how it’s going.

    Thanks again and take care!

  6. Willa says:

    You’re welcome. Thanks for the quick reply 🙂

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