In one of Home and Away’s most emotionally charged storylines of the year, Mackenzie Booth is forced to confront the unthinkable — a devastating diagnosis that leaves her unable to have children. The news, delivered after a routine check-up spirals into something far more serious, shakes the confident Salt owner to her core and threatens to destroy everything she thought her life would become.

The drama unfolds when Mackenzie begins experiencing a series of unexplained symptoms, dismissing them at first as stress-related after months of personal and professional strain. But when Levi insists she see a specialist, Mackenzie reluctantly agrees — unaware that her world is about to change forever.

Doctors soon deliver a life-altering blow: Mackenzie has a rare medical condition affecting her fertility, and the chances of conceiving naturally are almost zero. The revelation hits her like a tidal wave. Her hopes of one day holding a child in her arms, of building a family of her own, vanish in a single, heartbreaking moment.

Levi, meanwhile, is left reeling. For the first time, his calm composure cracks as he struggles to comfort the woman he loves. While he tries to assure her that their love is enough, Mackenzie is haunted by guilt and grief. “You deserve a family, Levi,” she tells him through tears. “I can’t give you that.”

The tension between them grows as Mackenzie withdraws emotionally, convinced she’s sparing Levi future pain by pushing him away. But Levi refuses to give up. In powerful scenes airing next week, he makes an emotional confession, telling her, “I didn’t fall in love with you because of what we might have — I fell in love with you because of who you are.”

Still, the storyline is far from over. Sources hint that Mackenzie will face a crossroads — either explore medical alternatives such as IVF or surrogacy, or come to terms with a life she never planned for. Insiders say the writers are preparing “an emotional journey of identity and acceptance” that could redefine her role in Summer Bay entirely.

Meanwhile, Levi’s patience and devotion will be put to the ultimate test. Rumours suggest that as Mackenzie spirals into self-doubt, she might make a shocking decision that could drive them apart for good.

As Home and Away continues to tackle real-life health issues with raw honesty, fans are preparing for some of the most gut-wrenching performances of the season.

Will love be enough to heal Mackenzie’s pain — or will this diagnosis tear the couple apart forever?