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All-Powerful Ellis: Remember that time Meredith wore a really creepy high ponytail to impress Derek's mom? Well, this episode was a little like that. Familiar but with a slightly crazed smile. Ellis Grey (Kate Burton) is such a powerful figure, even in death, so it only makes sense that in life she is positively stifling. That's not to say we are happy she's dead. OK, maybe it is better for the pecking order at Seattle Grace.

McDepressing: We admit it, initially we were allured by this shiny happy well-run Seattle Grace, but very soon, the happy facade start crumbling and the truth comes out. Alex is a jerk in any universe. Izzie, Burke, and George would still be M.I.A. And our favorite couples would be miserable without their soul mates. Funny how that all works out.

A Strange Sister: In our universe, Lexie (Chyler Leigh) had the perfect childhood, but here, Lexie is tattooed junkie orphan—yet that often-present love triangle still exists. Or given another few alt-episodes to brew, it could. We are so weak, one little pep talk about family and hearts and med school from Jackson (Jesse Williams) and we are toast. (Why did they break up again?) But then, in comes Mark rescuing an overdosing Lexie, and we are pulled under. (Why aren't they back together yet?) Seriously, how does Shonda Rhimes do this to us even in this crazy alternate reality? We are hopeless.

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Continued here:
Grey's Anatomy Redux: Destiny Is Destiny, Even in Alt-Universe!