Now PlayingGrey's Anatomy Worst Couples Ranked (Seasons 1-14)

Grey's Anatomy's most tumultuous couple is on the rocks again. With Betty Britney (Peyton Kennedy) missing again and her parents in town looking to take Leo for themselves, Owen's (Kevin McKidd) inner rage emerged and Amelia (Caterina Scorsone) was right in the crosshairs.

Here's the thing, Owen and Amelia have never been the best-suited couple. They got together pretty soon after the love of Owen's life, Cristina (Sandra Oh), left for Sweden, which had everyone labeling it as a rebound. Then they got married and got into a huge fight about children because Amelia had PTSD from her first pregnancy. Instead of dealing with it, Amelia locked herself in a hotel for a few weeks, driving Owen to demand a divorce. Then it turned out that Amelia had a tumor growing in her brain for years and it was allegedly responsible for all of her crazy behavior. Things have been pretty smooth since the tumor was removed, but Amelia and Owen's core differences are coming up now.

It's not that Amelia doesn't understand Owen's desire for a family she gets it. The problem is that Amelia always saw Britney/Betty as a core part of that family situation and Thursday's episode made it clear that Owen did not. Of course Owen is upset that Leo might be taken away from him, but that doesn't give him the right to blame Amelia for being unable to help him keep the kid. It also doesn't give him the right to judge her for having the same bond with Betty/Britney that he has with Britney's son.

At the end of the day, Owen and Amelia don't know how to have these differences and fights in a healthy manner; they always have to hit rock bottom before finding their way back together, and that's not an ideal type of relationship to raise a child in.

Even if there is potential for them to come back from this, it is made more complicated by Teddy's (Kim Raver) pregnancy and her feelings for Owen. Teddy may be trying to swear that she and Owen are just friends, but we all know that if Owen said he was down to give it a try, she would dump Koracick (Gregg Germann) in a heartbeat.

After years of pining, it seems inevitable that Grey's will have to give Teddy and Owen their due. Is this latest Britney/Betty drama going to be the thing that finally drives Owen to Teddy? We have a few more steps to get there, but rest assured that Amelia and Owen's latest fight doesn't say anything good for the future of their relationship. Prepare for the implosion.

Grey's Anatomy airs Thursdays at 8/7c on ABC.

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Grey's Anatomy Season 15 Episode 13 Recap: Owen and Amelia ...