Why was there no background music in The Pitt season 1? Noah Wyle explains decision

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Max's original medical drama The Pitt has quickly established itself as one of the most innovative and realistic shows in years. Unlike most medical dramas that rely on heavy dramatic music cues to create an emotional response, The Pitt takes a strong move in the other direction—it leaves out background music altogether.

This unconventional choice has piqued viewers' and critics' interest, causing everyone to wonder, why? In a recent interview with NPR's Fresh Air, series star Noah Wyle explained that the creative team behind Max’s hit drama made a deliberate choice to omit a soundtrack to heighten realism and avoid artificial emotional cues.


The Pitt: A radical move to cut music

Still from the series (Image via YouTube/Max)
Still from the series (Image via YouTube/Max)

Noah Wyle, who plays Dr. Michael Robinavitch, a veteran attending physician at Pittsburgh Trauma Medical Center, explained that removing music was an early and intentional creative decision. In an interview with NPR's Fresh Air, Wyle explained:

"One of the decisions we made early on was to not employ any soundtrack in the show. By lifting the music out, we've sort of removed the artifice that says you're watching a TV show, and we need you to feel sad here because we're playing strings or exciting here because we are using percussion."

This action intends to remove the emotional manipulation typical of television scoring, letting the rawness of the scenes have its say.


The Pitt: Allowing reality to speak louder

This series employs natural hospital sounds instead of traditional music—medical machines, urgent footfalls, and professional terminology—to provide a different kind of acoustic environment. Wyle explained:

“We're letting the sort of symphony of the sound of the procedures in the room be our cadence. And a lot of that is the technical jargon that the doctors are employing. It becomes the soundtrack in this scene and the intensity with which they're delivering those lines becomes the emotional equivalent of a score.''

This method not only roots the show in reality but also reflects the actual setting of an emergency room, where emotional peaks and troughs play out in real time, with no cinematic underscoring.


The Pitt: A new path for Max

As Max's first original medical drama, The Pitt marks a clear departure from the platform's usual offerings, such as big-budget sensations like The Last of Us and The White Lotus. While those shows have relied on high-end sound design and orchestral scores, this series goes back to basics—and it's succeeding.

Despite its unorthodox style, this series quickly became a breakout hit for the streaming platform. It was renewed for a second season even before the first concluded. In a recent interview with Vulture, Max CEO Casey Bloys confirmed that season 2 is already in production and expected to drop early next year. The new season will have a narrative jump forward to the Fourth of July weekend.


Meet the cast

Aside from Wyle's outstanding performance, the show is enriched by an excellent and diverse ensemble cast:

Every actor brings depth and complexity to their role, ensuring that the drama is rooted in realistic character work instead of stagey panache.

By abandoning the conventions of background music, The Pitt provides a medical drama that is incredibly grounded. It pushes the boundaries of television storytelling and brings audiences closer to the experiences of healthcare workers, not by instructing them on how to feel, but by observing.


All episodes of The Pitt season 1 are now streaming on Max exclusively.