Over the last 15 seasons of “Grey’s Anatomy,” fans have seen a lot of couples begin and end – many of them had fans swooning while others were frustrating to watch.

It’s impossible to keep track of all of the relationships that have happened in the nearly two decades since the show premiered, but there have definitely been many that have impacted the show and its characters more than others – and not always in a good way.

Here are some of the major “Grey’s Anatomy” couples, ranked.

Warning: Major spoilers ahead.


Callie and George’s relationship never should have happened.

Foto: He cheated on her.sourceABC

At first, when Callie and George started dating, their relationship was kind of cute. But, when George’s dad suddenly passed away, he and Callie began moving way too fast.

It didn't take long after they tied the knot in Vegas for George to start cheating with Izzie. And not long after that, the relationship ended.


Derek and Addison were always meant to split up.

Foto: They seemed better off without each other.sourceABC

When Addison cheated on Derek with Mark Sloan, Derek and Addison's marriage crumbled. But judging by the aftermath, it seemed like they were never going to stay happy together, even in the best of circumstances.

Both of them seemed much better off once they finally decided to call it quits and stop trying to put their marriage back together.


George and Izzie had no romantic chemistry.

Foto: They were better off as friends.sourceABC

In theory, the idea of George and Izzie getting together was kind of adorable. But, in practice, it backfired. They had no romantic chemistry together, and the fact that their relationship was a result of George's cheating on Callie wasn't great. Fortunately, they stayed friends when it was all over.


Jackson and Maggie are step-siblings and lovers.

Foto: It's hard to get past the fact that they're step-siblings.sourceABC

Even though Jackson and Maggie seem to be getting along fine, they haven't shown a ton of romantic chemistry just yet. Plus, it's hard to get past the fact that they're technically step-siblings.


Meredith and Riggs were doomed from the start.

Foto: But, they did save lives together.sourceABC

Riggs was a big deal in Meredith's relationship history because he was the first person she seriously dated after Derek's death. Unfortunately, things just weren't meant to be, and he couldn't stay with Meredith after he found out that his long-lost lover, Owen's sister Megan, was still alive.


Cristina and Owen were never on the same page.

Foto: They both had different futures in mind.sourceABC

Cristina and Owen never lacked chemistry - for a long time, they were one of the core couples of the series. But, the bottom line is that they were never really compatible.

Cristina was always a hardcore, independent surgeon who didn't want children, and Owen somehow hoped she'd change her mind about becoming a mother. She never did and he didn't change his mind about wanting children, either. Their love just wasn't enough to overcome their incredibly different future plans.


Izzie and Denny were perfect, but they didn't exist outside of the hospital.

Foto: Their relationship almost destroyed Izzie's career.sourceABC

Since their relationship never had the chance to exist in the real world, it remained flawless and beautiful inside the walls of the hospital.

Izzie was willing to risk her job for Denny's life, and Denny left his entire fortune to Izzie when he died. But fans will never know if their relationship would've been healthy or stable outside of the hospital.


Amelia and Owen were way too spontaneous.

Foto: Their relationship was quite a whirlwind.sourceABC

Their relationship was such a whirlwind. Plus, Amelia might not have married Owen in the first place if she hadn't had a brain tumor which was later linked to her lack of impulse control.

When they were married, they definitely had their issues. But, in recent episodes, their future plans and desires seem to be more compatible than ever.


Alex and Izzie seemed meant to be — until she left.

Foto: She left him without warning.sourceABC

It took them quite some time to get together, but once they did, their relationship was incredible. Alex stood by Izzie's side as she battled cancer, and they had a beautiful wedding. It's enough to melt anyone's heart. But then, Izzie suddenly left, and Alex was stuck with her medical bills.

Perhaps if the actress who played Izzie, Katherine Heigl, hadn't decided to exit the show, the romance wouldn't have ended quite so abruptly.


Callie and Arizona were great together for a while.

Foto: They did have a beautiful wedding, though.sourceABC

Callie and Arizona couldn't have been more perfect for each other. They loved and supported each other and even raised a daughter together.

It all seemed meant to be, but their downward spiral began when Arizona lost her leg in the plane crash. She struggled to forgive Callie for making the intense medical decision that led to her losing her leg. Plus, Arizona later cheated on Callie.

Ultimately, they ended up getting divorced. But, the two seem to be co-parenting well - and Arizona has moved to New York to be closer to Callie so they can raise their daughter together.


Teddy and Henry could have had an amazing life together.

Foto: Their relationship was tragically cut short.sourceABC

Teddy and Henry started their relationship in an unconventional way - getting married so Henry could have her insurance and receive treatment. They ended up falling in love and having the most beautiful relationship until it all tragically ended with his death.


April and Matthew ended up together eventually.

Foto: They went through a few ups and downs.sourceABC

Everything about April and Matthew seemed too good to be true, from the flash mob proposal to the fact that they were so alike. But even though she left him at the altar during their first wedding, she later came back to him, and they ended Season 14 a married couple.


Miranda and Ben are a pretty healthy example of marriage.

Foto: They've gone through a lot together.sourceABC

Miranda and Ben have been an awesome couple from the start. They respect each other, support each other's dreams, and they make it work.

Ben came into Miranda's life and immediately became a father figure to her son, Tuck. They even lasted through long distance when Ben was an intern in California- but he later came back because he missed her too much. They've definitely had their arguments (and big ones, too) but they always manage to talk things out.


April and Jackson had so much potential.

Foto: Their love was strong, but it didn't last.sourceABC

This couple didn't work out, but so many fans wanted them to. Jackson brought April out of her shell, and they both changed each other forever. The two also went through a lot of heartbreak.

After their baby Samuel died, things were never the same between the couple - not even when their second child, Harriet, was born.

But, Jackson and April have both moved on to find other partners while still co-parenting Harriet.


Mark and Lexie were there for each other until the end.

Foto: Sadly, they waited too long to declare their love.sourceABC

Though they had a bit of an age difference, and Mark was in a different stage of life than Lexie, these two couldn't be more perfect for each other.

Unfortunately, it took them a little too long to realize what was truly important, and they finally confessed that they still loved each other as Lexie was dying after the plane crash.


Alex and Jo are a perfect match.

Foto: Their relationship is strong.sourceABC

The two understand each other in a way that no one else could since they both survived difficult childhoods - Alex was raised in foster care, and Jo was homeless as a teenager.

They truly bring out the best in each other and support each other's career goals. After their somewhat chaotic wedding, they've finally gotten their happily ever after.


Meredith and Derek had a wonderful romance.

Foto: Their love survived a lot of harrowing circumstances.sourceABC

While Derek was still alive, their marriage was the gold standard of "Grey's Anatomy" relationships. Together, they survived bombs, plane crashes, major storms, and shootings. And, while Derek was alive, they tackled parenthood together as they raised their children.

The show isn't the same without Derek, but at least we can nostalgically look back on the first few seasons when his and Meredith's love story was just beginning.

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