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Dr. Abbot / The Pitt

Resident!reader has a crush on Dr. Abbot, but never acts on it because they work so well together and he's never given her any firm indication that he likes more than as his favourite resident. But every so often the praise he'll give is just on the edge of being unprofessional without crossing that line...so she decides to go for it and he rejects her. Before they can speak again she's in a car accident and is brought into the pitt and he goes *feral*. Bonus points if he breaks down and admits his feelings when he thinks she can't hear him because she's so out of it, but she remembers everything. Extra bonus points if he thinks she's going to die at any point. ALL the bonus points if there's a spicy ending....or spicy anything.

Say It First: Dr. Jack Abbot x Reader

Synopsis: Jack has grown used to the emptiness in his heart, a quiet companion that has kept him safe for too long. But when you finally speak your truth, he realizes the hardest battles aren’t fought on the field or in the chaos of the ER, but in the silence between two hearts longing for each other.

Warnings: Canon-typical depictions of trauma, angst, hurt/comfort, rejection, mentions of drunk driving, death, car accidents, reader is injured

Word count: 3.6k

A/n: Thanks for sending this in!! I got so many requests and I’ll try to work through them, but a) this was the first and b) this may or may not be inspired by real events (minus the accident) lmfaooo yikes good times…. Also, no spicy ending, because of, well, where I've ended it, but a bit of flavor sprinkled in... this is soo long / slow burn sorry, pls lmk what you think <3

Thirty-six years old. A mother of two. Only trying to get home. Gone. In the blink of an eye. All because one man chose to get behind the wheel after a night out.

You spent the last hour coding the woman, the air thick and heavy with grief. After taking a minute to honor her life, your feet carry you instinctively towards the roof.

The first rays of the morning sun gently kiss your face and the weight on your chest begins to lift, if only slightly. Your shoulders drop slowly with each cleansing breath, as you release the night’s tragedy into the vastness of the world below.

Your eyes meet a familiar silhouette standing behind the railing. As always, a little too close to the edge.

"What are you doing here?" Jack turns around, his features softening at the sight of you.

"Can a girl not enjoy a beautiful sunrise in peace?" you counter playfully.

That's a lie. You were looking for him. You always find him here.

"Heard you had a rough one", his tone full of sympathy, or just understanding.

A flicker of pain flashes across your face and without missing a beat, Jack steps back, moving to stand beside you, just behind the railing. His hand rests on your shoulder, warm and reassuring, the lightest of squeezes grounding you.

Your jaw tightens. "She had groceries and toys in the back of her car." With a deep sigh, "Her kids... are still waiting for her to come home."

He lets your words hang there, giving you time to process the loss. "You want me to talk to them with you?"

You wonder when Jack started being so soft with you. You think back to your early days in residency. Your first impression of him was that of a broken, stone-cold man. A soldier, hardened by years of seeing too much, too many lives lost. He used to move through the halls like a ghost, never letting anyone get too close.

But somehow, at some point, he let you in. At least you think so.

You shake your head, desperate to change the subject. "What are you doing up here?

A hint of a smile creeps in. It's faint, but it's there. "Just thinking..."

"...About?"

"Nosy as ever..." Jack's smile grows a little. "Life. Death. Everything in between..."

You press on, "Well, if you're ready to rejoin the living, a few of us are heading to the new pub down the road. The owner was a patient of mine. So, free drinks for me and my friends!"

"I don't have friends here."

You roll your eyes. Hard.

"What am I then?"

"One of my best residents?"

You lean in, whispering, “I'm your favorite though, right?”

Jack huffs a quiet laugh, a small shake of his head. He’s aware of the irony, of course.

He hasn't really been playing favorites, not consciously anyway. But lately, you've been getting extra attention from Dr. Abbot. More lessons. More opportunities. More praise.

But between the nepo babies and the kid geniuses in this hospital, you figure you deserve a little favoritism.

And you are grateful. Jack is a great teacher. He knows when to step back and he takes the time to teach when you're out of your depth. Believes in you, even when you don't.

The bar is buzzing with noise. You stand there, waiting for the free drinks, watching the crowd. Jack is sat on a stool in the corner, like he's part of the furniture, his eyes scanning the exits. Always on guard, even here.

Most of the team is clustered together, laughter and chatter in the air like a cocktail of relief and friendship. Glasses clink with a sound of shared thanks.

Robby and Heather slip to the other side of the room, their conversation low and intense, the tension between them palpable.

You wonder if people notice a similar air between you and Jack. Your shifts have somehow magically aligned lately.

Princess and Perlah, no doubt, have been talking. The boys, likely betting on who’s going to admit it first.

Dana steps closer, voice barely above a whisper, "Can't believe you've managed to get our sad boy to come."

Your eyes widen, but she doesn't let you object "He never does. Believe me, we've all tried. Nothing. Not even for Robby. And they're... friends."

You can’t help but laugh, "He doesn't have friends."

Dana shoots you a look. "So I've heard."

The bartender hands you two beers, a welcome interruption. You flash Dana a warm smile, before slipping away towards your table, feeling the weight of her gaze still on you.

You hand Jack one of the bottles, without looking, it's almost automatic. Natural. If people saw you on the street, they'd probably assume you were more than just colleagues.

You slide onto your stool, leaning in closer to Jack. "Dana's a little hurt that you've never gone out with them before. Not even for Robby!" You laugh, taking a big gulp of your beer.

Jack smirks, "I told you, I don't do favorites." He's satisfied by the loud laugh he gets from you.

The hours pass by, the noise of the bar blending into the background as you and Jack stay in your own quiet bubble.

Your stools have shifted closer, your knees just barely brushing. You glance down, surprised to find Jack’s hand resting on your thigh, his thumb rubbing slow, deliberate circles over the fabric of your jeans. It’s almost too gentle, too careful, like he’s testing a line neither of you wants to cross but can’t help but feel drawn to.

Your cheeks are flushed, your eyes glazed, laughter still filling the air. You don’t know if it’s the alcohol or the way Jack’s presence calms you, but it’s been a long time since you’ve felt this alive.

Have the rest of the team even noticed? Are they still here?

You’ve had a bit to drink, maybe more than a bit and as you push yourself up from the stool to head towards the restroom, a dizzy spell hits you.

For a split second, you’re sure you’re about to face-plant into the cold wall next to you, but then Jack’s there. His hand steadies you, pulling you against him with a surprising gentleness.

You remain in his grip, your body melting at the contact. His breath is uneven, but it’s probably from the shock of almost seeing you fall. Unless...?

You look up into his eyes and for a fleeting second, there’s something there.

A spark.

Something electric that makes your heart skip. And before you can stop yourself, you want to close the distance between you, feel his lips against yours.

But Jack pulls away, his movements soft and almost apologetic as he helps you stand with a shy smile.

You return the smile, but it doesn’t quite reach your eyes as you step away, heading towards the restroom.

Once you're out of sight, he turns to see Dana glancing at him across the room. Before he can protest, you’re back, gathering both your jackets, moving with the same confidence you always have. "Wanna walk me home?"

Jack's eyes widen at the bluntness. He freezes for just a moment, hesitation flickering in his eyes before he nods.

"Yeah. I’ll walk you home."

You both head for the door, only to find that the team are, in fact, all still there. And now they're staring.

Watching you leave with Dr. Jack Abbot.

The ER buzzes with its usual chaos, patients rolling in, monitors beeping and the staff moving in sync. But today, there's something else in the air that you can't quite put your finger on.

You’ve just finished treating a patient, now sitting at a computer at the nurses' station, neatly typing up your notes.

You feel everyone's eyes on you.

Today, they are definitely talking.

You glance up and spot Jack across the room. He’s looking at you already, his expression unreadable. Something about his gaze feels different. A little too focused. A little too intense.

He walks over, reaching across you to grab a chart. His hand briefly brushes against yours as he leans in slightly, too close for a colleague, but not quite crossing the line.

You blink, trying to focus on the patient notes in front of you, but the words suddenly feel distant.

It’s impossible not to notice the way the team is starting to gather in their little huddles, whispering, eyes darting in your direction.

He stands close enough now that you feel his warmth. The line between professional and personal blurs and for a brief, dangerous moment, you’re not sure where the boundaries lie.

"You’re a natural," he says, his eyes meet yours and the intensity is enough to make your heart stutter. "Well done."

Jack continues, his voice lower now, just loud enough for you to hear, but not to be overheard by anyone else "You should be proud."

Before you can reply, a sudden voice cuts through the moment. It’s Robby, walking past with a glance over his shoulder, a knowing look in his eyes. “Hey, Jack,” he calls out casually. “Save some of the praise for the rest of us, yeah?”

Jack’s gaze flicks toward Robby, "You know, I don’t do favorites."

But something has changed and it’s too late to pretend otherwise.

You suddenly stand, confidently grabbing Jack's arm and pulling him to one side. He is surprised, a flicker of curiosity in his eyes, but he follows you without a word.

You look up at him, “Listen, I know we’re not exactly friends.” You pause, your eyes meeting his, willing him to understand what you’re trying to say. “But you’ve been working a hell of a lot of shifts lately. And… I thought maybe we could grab dinner sometime?”

You watch Jack's lips twitch ever so slightly, but he composes himself quickly.

He doesn't say anything for a long beat.

Did you cross a line?

“I mean”, you add, “You know, to talk about cases or whatever. You don’t always have to eat in the break room. And I’m sure you’re tired of hospital food.” You give him a smile, warm and genuine.

For a second, you think he might decline. You feel your pulse race just a little faster.

But then he returns your smile, "Sure. Dinner sounds good."

You sit across from Jack in a dimly lit restaurant, the glow of the candlelight casting soft shadows on his face. The flicker of the flame reflects warmth onto his dimples.

It feels intimate, like you’re seeing a side of him that’s been hidden for too long, even from himself.

"Fuck me", you mutter, sinking into your chair, hiding from someone across the room.

"Excuse me?" Jack's voice is surprised, with a hint of something else.

If you weren't so uncomfortable, the shocked look on Jack's face would have made you laugh.

“Don’t look,” you whisper, the words slipping out before you can stop them. “But the guy over there… he broke my heart in med school.”

Jack’s gaze flicks to the man in question, but it's so obvious that it makes you flush.

He turns back to you, leaning in, "Want me to rough him up? Just a bit?"

You giggle, "Please don't, we weren't that serious anyway. But he did cheat on me. And at the time, it hurt."

Something dark flickers in his eyes.

"He's a prick", he spews, voice low and sharp.

"Why do I always get the assholes? I think I'll just give up", you laugh.

He hesitates for a moment, but the words leave his lips before he can stop himself.

"Why are you single?" His voice holds genuine surprise.

"Since when are you interested in my love life, Dr. Abbot?"

Or lack thereof.

He doesn't respond. You contemplate for a moment. Is he really this clueless?

"Why do you think?" You question, like a challenge.

"I don't know", his brows furrow. "I think - you like being independent. You're not looking for a man to complete you." He ponders, "And I also think you find dating distracting."

The way he reads you, so honestly, so accurately, hits you in ways you weren’t prepared for. You drop your mouth slightly.

How can he be so spot on and so wrong at the same time?

"What do I know. Maybe you just haven't met the right guy", he adds, trying to ease the awkward tension that’s settled between you.

Or maybe the right guy just doesn't know how to connect the dots!

"What about you then?" You try to shift the conversation.

"What about me?" He laughs.

You shoot him a look.

"Why am I single?", he asks most innocently. "What if I'm not?" You roll your eyes.

"We'll then what are you doing here with me and not making love to your gorgeous girlfriend... or boyfriend?" You add the last part with a smirk that feels more daring than you expected. He can't place it, but this new energy awakens something inside him.

His eyes flicker to your lips, but there’s a hesitation. The air is electric, you can almost feel the wall between you crumbling.

But his face grows serious. "It's just easier like this."

"Since when are you one to take the easy road?" You counter, your voice sharp.

It's now or never.

You search his eyes, willing him to say it first.

Anything.

But he doesn't. You break eye contact and he feels like he just lost something he didn't know he could have. Didn't know he deserved.

You exhale deeply, the words finally escaping you, "You know I have feelings for you, right?".

The confession slips out, barely louder than a whisper, as if you’re terrified of hearing it yourself.

For a moment, there’s only silence.

A flicker of vulnerability crosses his face, but it disappears just as quickly. His stoic exterior is intact, but something has cracked. His gaze remains unreadable, like his brain can't comprehend what you just said.

You wonder if you should take it back, pretend it never happened. Maybe you're lucky and he really didn't hear you.

You're not.

Before you can retreat, Jack beats you to it. "Y/N..."

Oh no.

"I'm so flattered...I- Thank you." His words are slow, measured, as if he's trying to find the right ones. "I- I didn't know you felt this way."

What, the excessive flirting and the obsessive need to be near him didn't give it away?

"Ouch. I suppose you don't feel the same", you laugh nervously.

There's that look again. Like he sees right through you. Like he's already seen every part of you. Touched every inch of your body, without ever having seen you naked.

"What do you want with an old man like me anyway?" His voice thick with uncertainty.

Hello? Is that a no?

It stings, but you fight to keep your composure. “You’re not that old", you tease, but the effort feels hollow in the face of his hesitance.

"It wouldn't end well...", his voice quieter now. "I don't want to hurt you."

"God, if you don't have feelings for me just say so. We're adults. This will they/won't they game is really messing with my head!"

"I'm sorry" he says, the words soft but final. "I can't."

You have your answer.

You've been through too much uncertainty. Always hoping for more. Always confused. It's too much hurt. Too much heartbreak. So you accept his decision.

And know you'll move on.

Your evening has come to an unexpected end. He slips your jacket over your shoulders with that same careful attention, the way he’s always done, because, of course, he’s the perfect gentleman, even after this brutal rejection.

You know it'll take some time to heal, which feels silly, because nothing really happened!

But in your mind, you're already preparing to switch shifts, changing your routine, so your schedules will no longer align.

Jack insists on walking you to your bus stop, his steps matching yours in a slow, rhythmic silence. And in that moment, a wave of sadness overcomes you. You feel like you're not just losing a friend, but also your mentor. Your eyes well up, praying he doesn't see. But he does, of course.

He always does.

You're ready to say goodbye, to the night, but also to what could have been.

When you reach the stop, he unexpectedly pulls you into his chest, his arms wrapping around you with a tenderness that makes your breath catch. One of his hands presses gently against your back, while the other holds your head against his heart, each beat a reminder of what it feels like to be alive, to be loved.

For a brief moment, as you breathe in his familiar scent, you only exist in the present.

In his arms.

The weight of your future and present not threatening to pull you under.

But then reality hits you.

You step back, slowly, as if leaving a piece of yourself behind in the safety of his embrace.

You turn around and walk away. You know he's watching, but you don't look back.

Jack has barely seen you this week, your shifts conveniently ending when his start and vice versa.

He can't help but feel like he's lost something good, not even giving it a chance to become something great.

He's on his way to the hospital for yet another shift without you, his mind wandering back to the moment he watched you walk away.

When he let you go.

When all he really wanted was to let you in. To have his lips touch yours. To interlock your fingers with his. To take you on a real date. To take you bake to his place...

To watch the bus drive off without you.

But you said it first. And he said nothing at all.

The air is different today, charged, the nurses a little quieter, the doctors a little more tense.

Jack looks around, he realises something isn’t right. The staff are huddled in groups, whispering.

Is the hospital finally closing down?

He has a bad feeling about this.

He notices Dana first. She's standing by the nurses' station. When she catches his gaze, her eyes flicker with something Jack can’t quite place. Concern? Worry? He’s about to walk over to her when Robby appears out of nowhere, stepping right into his path.

“Jack”, Robby says, his voice low. There’s a weight in his tone, a hesitation that only deepens Jack’s unease.

“What's going on?” Jack asks, his brow furrowing, but Robby doesn’t answer right away.

Instead, Robby pulls him aside, out of earshot of the others.

The words “drunk driver” and “Y/N” are enough to send a cold shiver down Jack's spine.

Jack's hands tremble as he heads straight for your room, but everything feels distant, muffled.

He’s flooded with guilt for not being there, for not having checked on you, for all the unsaid words between you.

Christ, he's a doctor and he wasn't there to help you.

More importantly, he was your friend and he let you believe that he wasn't.

Maybe, deep down, he knew he wanted to be more than that.

Now, there you are, lying still, tubes and wires everywhere.

He takes a shaky step forward, his hand hovering near yours. The thought of touching you, of being this close and you not being aware, makes his chest tighten. But he can’t help it. His fingers brush against your skin, a fragile connection.

“I didn’t- God, I was an idiot. I should’ve… said it. Should’ve been… with you. But I didn’t. I’m sorry. I-” His voice breaks and he curses under his breath.

He doesn’t know if you can hear him.

If you’ll ever hear him again.

Jack takes a seat next to your bed, drowning in fear for you. Broken. Guilty. Devastated. Alone.

“I’m so sorry", a quiet sob escapes his lips. "I've grown so used to the emptiness in my heart, I didn't know how to let you in..." It's in this moment, he realizes he’s terrified of losing you without ever having truly had you.

For the next couple of days Jack watches your chest rise and fall in a steady, artificial rhythm, but you don't move.

He loses a fraction of hope with every day that passes, waiting for you to wake up, for you to roll your eyes and tell him to stop being an idiot.

Your friends and colleagues check in on you as much as they do on him.

But the silence stretches on.

Robby often lingers in the doorway, exchanging quiet, knowing glances with Jack before he leaves, like there’s nothing else to say or do.

On the seventh day, Jack finds himself sitting beside your bed long after his shift has ended. His hand rests on the edge of your mattress, close enough to feel the warmth of your skin, but still too far away.

"I’m sorry”, he mutters, knowing you can’t hear him. His eyes flicker to the machines keeping you tethered to this world, his heart feeling too heavy to bear.

His body stiffens when he suddenly sees your fingers twitching ever so slightly. Then, a shallow inhale, before your eyes flutter open.

Jack watches you look up at the ceiling, disoriented. Then, slowly, your gaze moves to him.

"Jack?" Your voice is hoarse.

He leans forward, the weight of the last few days catching up with him. “Yeah,” he says quietly. “I’m here Y/N."

You blink a few times, before the corners of your mouth turn into a smile. Though it’s small and fragile. “I thought you didn’t have favorites?”

For a second, he isn’t sure he heard you right.

His heart aches, raw and exposed and he knows he can't hide his feelings anymore.

You know. And he knows you know.

You lift a hand, weak but determined and place it over his.

Omg, this turned out way longer than expected!! Hope you liked it anyway. Pls comment/share your thoughts below. ♡

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