Berlin ER season 1 episode 4 recap: Dr. Parker’s birthday turns into a nightmare shift
Berlin ER season 1 episode 4 dropped on Wednesday, March 12, 2025. The show has been running for nearly a month, letting viewers straight into the chaos of one of Berlin’s most overcrowded and understaffed emergency rooms. The Apple TV+ medical drama follows Dr. Suzanna Parker, a former geriatrics doctor from Munich who takes on the near-impossible job of running the ER at KRANK, a hospital barely staying afloat.
Now, four episodes in, the show isn’t slowing down. Berlin ER season 1 episode 4, titled Treatment, pushes the ER to its limits with a relentless night of emergencies.
Dr. Suzanna Parker barely has a moment to breathe, let alone celebrate her birthday. As the ER fills with patients, she’s stuck juggling crises while no one realizes it’s her special day—except for Dr. Ben Weber. Between patients piling up in the waiting room and the staff barely keeping up, Parker is forced to step in where others fail.
At one point, she overrides Dr. Dominik Kohn’s decision, pushing for emergency surgery on a patient he was hesitant to operate on. This only fuels tensions, as Kohn resents being undermined. Meanwhile, Parker’s exhaustion is written all over her face. The weight of the job is crushing, and the lack of acknowledgment from her team only makes it worse.
Later, when she finally gets a moment away from the chaos, Ben is the only one who acknowledges her birthday. But even that brief moment of kindness is overshadowed by the brutal reality of the ER.
Berlin ER season 1 episode 4: A night of long waits and overwhelmed doctors
The overcrowded ER reaches its breaking point as patients wait for hours without being seen. Some are forced to sit in chairs all night, hoping a doctor will finally get to them. The understaffed department is running on fumes, and mistakes start piling up. One of the biggest issues is the number of inexperienced doctors handling critical cases.
Dr. Dominik Kohn, still struggling to prove himself, makes several missteps that put patients at risk. He fumbles procedures, second-guesses himself, and nearly causes serious harm. Meanwhile, nurses are stretched too thin, and tempers flare as frustration grows.
Patients and families demand answers, but there’s only so much the staff can do. The episode makes it painfully clear—this hospital is barely holding together, and unless something changes, people will continue to suffer. Parker is trying to fix the system, but with so much resistance, her efforts seem futile.
Berlin ER season 1 episode 4: Ben Weber is slipping, and no one is stopping him
Ben Weber has been toeing the line between a functioning doctor and a full-blown addict, but this episode shows just how deep he’s sinking. The weight of working in a broken system is getting to him, and the only thing keeping him going is substances.
After a long night of treating patients, including a heartbreaking loss, he turns to drugs for relief. But this time, it’s more than his usual dose. The hospital’s flaws are on full display when a patient who should have received treatment much earlier ends up dying.
Ben, who has a soft spot for people failed by the system, takes it hard and instead of processing it healthily, he spirals. By the end of the episode, he’s using harder drugs, and it’s obvious he’s losing control. The question now is, will anyone step in before it’s too late, or will he become another casualty of the ER’s relentless pressure?
Berlin ER season 1 episode 4: Parker’s fight for change is creating more enemies
Parker is determined to fix the ER, but every step forward comes with a new roadblock. The doctors don’t trust her, the nurses are skeptical, and the hospital administration is more focused on budget cuts than patient care. Staff members pushing back against her changes is another one of her latest challenges.
The tension with Dr. Dominik Kohn only worsens after she overrides him, making it clear she’s willing to step on toes to do what’s right. But this creates a divide, and it’s obvious that not everyone wants to see her succeed. Meanwhile, hospital politics continue to play out behind the scenes.
The staff has been dealing with bad leadership for so long that they don’t believe Parker will last, and some are even waiting for her to fail. She’s pushing for reform, but with resistance coming from all sides, it’s clear she’s not just fighting for change—she’s fighting for survival.
Fans can watch Berlin ER season 1 episode 4 on AppleTV+.
