In a hospital where chaos, trauma, and heartbreak dominate every shift, moments of love feel even more powerful. Over nearly four decades, Casualty has delivered some of television’s most emotional, surprising, and unforgettable romances. Some stood the test of time, while others ended in tragedy, but all of them left a mark on Holby ED.

Here are five of the best couples in Casualty history — the pairings fans still talk about today.

Charlie Fairhead and Duffy

The heart and soul of Casualty for decades, Charlie and Duffy were a slow-burn romance that spanned years. Their relationship embodied loyalty, compassion, and second chances. When they finally admitted their love, fans across the country cheered. Their story ended in heartbreak when Duffy passed away, but their bond remains one of the most iconic love stories in British television.

Zoe Hanna and Max Walker

Zoe and Max were a classic case of opposites attracting. She was brilliant, sharp, and sometimes chaotic; he was steady, grounded, and endlessly patient. Their chemistry lit up the screen, and though their relationship had ups and downs, fans adored seeing them together. Zoe’s exit left Max behind, but their love story remains a highlight in Casualty history.

Sam Nicholls and Dylan Keogh

Though often complicated, Sam and Dylan’s connection brought out surprising depths in both characters. Dylan’s guarded, cynical nature softened when Sam was around, revealing the tenderness he usually kept hidden. Their bond was built on respect, shared trauma, and a quiet understanding that made them one of the ED’s most intriguing couples.

Connie Beauchamp and Jacob Masters

Few relationships were as fiery as Connie and Jacob’s. Their romance was passionate, dramatic, and often stormy, but it showed both characters at their most vulnerable. Jacob’s devotion to Connie, even in her darkest moments, added a raw emotional layer that fans won’t forget.

Robyn Miller and Glen Thomas

Sometimes the sweetest love stories are also the shortest. Robyn and Glen’s romance was marked by tragedy after Glen’s terminal diagnosis, but their connection was beautiful while it lasted. Their relationship reminded viewers that love, however fleeting, can bring hope and comfort in the darkest times.

Why these couples matter

Romance in Casualty has always been more than just background drama. These couples showed the human side of life in the ED — the need for connection, the risks of vulnerability, and the healing power of love. They gave fans characters to root for and relationships that lingered long after the final credits rolled.

The verdict

From Charlie and Duffy’s timeless devotion to Connie and Jacob’s stormy passion, Casualty has given us love stories as gripping as any medical emergency. Whether they ended in happiness or heartbreak, these romances proved that even in the most chaotic environment, love can thrive.

💬 Which Casualty couple was your favourite — and which romance do you think deserves a second chance in Holby ED?