Buckle up, General Hospital viewers — the episode airing Tuesday, September 23 is loaded with dramatic reveals, deeply emotional moments, and surprising confrontations.

Nathan West’s mysterious “return” is shaking up nearly everyone in town, bringing with it guilt, hope, new questions, and strained relationships. Here’s what to expect:

Nathan’s Return: John Doe or Long-Lost Brother?

Anna Devane is now guarding a man thought to be Nathan West, discovered following a car crash.

Felicia enters the hospital room and is visibly shaken when she sees him — the resemblance is undeniable. The central mystery: is it really Nathan, or someone who looks very much like him? Anna insists the situation remain under wraps, warning Dante, Lucas, and Elizabeth to stay quiet.

Britt’s Double Whammy

For Britt Westbourne, this episode is one emotional landmine after another. First, the potential confirmation that Nathan is alive upends everything she assumed about her past. Then Lulu Spencer shows up, seeking reconciliation for the sake of her son, Rocco, which forces Britt into a corner of guilt, grief, and possibly regret. Britt’s composed mask may crack, as she has to face what these events mean for her family, for her secrets, and for her future.

Drew’s Redemption & New Alliances

Amid the chaos, Drew Cain gets what seems like a chance at redemption. Jordan Ashford encourages him to seize a new opportunity — “turn it all around.” Meanwhile, Martin Grey starts acting on Drew’s instructions. The question is: will he follow through, or will his own motives complicate matters? There is also the matter of a mysterious letter Martin found addressed to Monica — something others may want suppressed.

Portia & Curtis, Jason & Britt: Relationships Tested

Portia confronts Curtis with his choices, accusing him of being unable to admit what he has done. Tension between them is only growing. On another front, Britt is a source of comfort to Jason after the loss of Monica, which might pull them closer—or complicate things depending on what secrets emerge. Jason reassures Britt: “I was exactly where I needed to be,” hinting both at grief and responsibility.

Why This Episode Changes the Game

• Identity & Return: The return of Nathan or someone who looks like him raises deep questions of identity, loyalty, and truth.

• Secrets vs. Redemption: Drew’s opportunity for redemption may clash with others’ hidden agendas—especially Martin’s and Britt’s.

• Grief & Guilt: With Monica’s death still fresh, emotional truths are sharper, and past mistakes feel heavier.

• Relationships under Pressure: Everyone from Portia & Curtis to Jason & Britt looks at their relationships in light of recent tragedies and surprises.

By the end of Tuesday’s episode, several character arcs will have shifted. Some secrets may spill, others might be reaffirmed, and new paths will emerge for characters who thought they were out of storms. Port Charles is changing—fast.