This fall, Greys Anatomy season 19 extends the ABC series as televisions longest-running American medical drama. After 400 episodes, the series remains a top draw and a hit among fans who have been there since the beginning or jumped in via a Netflix binge-watch.

Throughout the shows nearly two-decade run, the cast has changed quite a bit. Stars like Patrick Dempsey, Katherine Heigl, and Sandra Oh launched the series along with Ellen Pompeo, who has remained the leading star of the show since the first episode.

Along with Pompeo, Greys Anatomy season 19 will feature two additional cast members who have been with the show since season 1: Chandra Wilson and James Pickens Jr. Many of the cast members have been with the series for multiple seasons.

However, ahead of the season 19 premiere this fall, ABC has announced a handful of fresh faces that fans will be seeing around Grey-Sloan Memorial Hospital. Find out whos in the main cast, whos recurring, and whos new, with updates leading up to the premiere!

In another history-making season, theGreys Anatomyseason 19 cast once again brings back a fair amount of its familiar faces. ABC has solidified whos in and whos out, and the only season 18 cast member confirmed to not be returning is Richard Flood as Dr. Cormac Hayes.

Heres the Greys Anatomy season 19 cast:

While those are the cast members in the main cast, season 19 will also feature plenty of usual suspects in recurring roles, including but not limited to:

In season 18, Kate Walsh reprised her role as Dr. Addison Montgomery, who appeared in the early days of Greys and six seasons of the spin-off Private Practice. On Sept. 7, Variety reported that Walsh would recur in season 19, beginning in the third episode of the season.

Walsh makes her season 19 debut in the third episode of the season, airing Thursday, Oct. 20 and titled Lets Talk About Sex. As of this writing, its unclear how many season 19 episodes Walsh will be featured in, but with a recurring role, we could see her for a good handful.

On Aug. 3, Deadline reported that Ellen Pompeos role as Meredith Grey would be reduced in Greys Anatomy season 19. Pompeo will only appear in eight episodes of the upcoming season, which is expected to have 22 episodes. The star will still narrate each episode and act as an executive producer.

The huge change in Ellen Pompeos on-screen role is a first for the series. While shes not leaving Greys, her reduced role comes on the heels of Pompeo taking on her first non-Greys Anatomy role in over a decade. She will lead Hulus Orphan-themed limited seriesand juggle both series. Its currently unknown whether season 19 will be the last of the series or the last for Pompeo.

On Oct. 17, Greys Anatomy fans received some amazing news! A former favorite character and cast member will be making a long-awaited return trip to Grey Sloan Memorial. On Oct. 17, Deadline reported that Jesse Williams will guest star in season 19.

Williams will reprise his role as Dr. Jackson Avery in the fifth episode of season 19, which is set to air on Thursday, Nov. 3. The episode titled When I Go to the Border will also be directed by Williams. Perhaps Greys fans can potentially look forward to Williams directing more episodes.

Since his departure in the season 17 finale, Jesse Williams has appeared in the Broadway play Take Me Out, the Paramount+ movie Secret Headquarters, and the upcoming Netflix romantic comedy Your Place or Mine. His Greys return will be the fourth episode of the series hes directed.

In the lead up to the season 19 premiere this fall, ABC has announced a handful of new series regulars joining the iconic series as brand new characters. They might be new to Greys Anatomy, but you have definitely seen their faces before:

Alexis Floyd had a recurring role in Freeforms The Bold Type and had a breakthrough role in Netflixs limited series Inventing Anna. Niko Terho starred with fellow Greys cast member Jake Borelli in Freeforms romantic comedy The Thing About Harry. Midori Francis has appeared in titles such as Dash & Lily, The Sex Lives of College Girls, and Afterlife of the Party. Adelaide Kane was the lead in The CWs historical drama Reign and appeared in the shows Teen Wolf, Once Upon a Time, Into the Dark, and This Is Us. Harry Shum Jr. is known for his roles in Glee and Shadowhunters.

Greys Anatomy season 19 premieres Thursday, Oct. 6 at 9/8c on ABC. Watch season 1-18 now on Netflix.

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Greys Anatomy season 19 cast: Whos in the season 19 main cast? - Netflix Life