‘Grey’s Anatomy’ Texas Spinoff Casts ‘How to Get Away With Murder’ Alum Karla Souza in Lead Role

By Joe Otterson

Joe Otterson

TV Reporter

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The “Grey’s Anatomy” spinoff set in West Texas has cast Karla Souza in a lead role, Variety has learned.

The spinoff was originally announced at ABC in May. It was intended to launch during the 2026-2027 broadcast season, but was recently delayed to the 2027-2028 season after it did not receive a California TV tax credit.

The official logline for the untitled series describes it as “an edgy drama about a team at a West Texas rural medical center — the last chance for care before miles of nowhere.”

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