
The Good Karma Hospital is a medical drama series produced by Tiger Aspect Productions for ITV. The show follows junior doctor Ruby Walker, who left her life in the UK to take a job in The Good Karma Hospital in South India. The series first aired in 2017 and ran for four seasons, concluding in 2023. Despite initial plans for a fifth season, it was announced in November 2022 that the show had been cancelled. The final season aired in the UK in 2022, wrapping up the story of Dr. Lydia Fonseca and her staff at the rural Indian hospital.
| Characteristics | Values |
|---|---|
| Number of seasons | 4 |
| Continuation | Axed by ITV |
| Fifth season | Will not be returning |
| Last season | 2022 |
| Setting | Rural hospital in South India |
| Story | Staff at the hospital and their patients |
| Main character | Dr. Ruby Walker |
| Other characters | Dr. Lydia Fonseca, Greg McConnell, Dr. Gabriel Varma, Dr. Samir Hasan, Dr. Nikita Sharma, Dr. Aisha Ray, Dr. Ram Nair |
| Show creator | Dan Sefton |
| Production company | Tiger Aspect Productions |
| Filming location | Southern Sri Lanka |
| Average viewers | 5.9 million |
| Availability | Seasons 2-4 available to stream on ITV Hub |
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What You'll Learn

The Good Karma Hospital will not return for a fifth season
Fans of the ITV drama series The Good Karma Hospital were disappointed to learn that the show will not return for a fifth season. The series, which first premiered in 2017, followed junior doctor Ruby Walker, played by Amrita Acharia, who left the UK to take a job at the titular hospital in South India. The show was shot in southern Sri Lanka and starred Amanda Redman, Neil Morrissey, and Nimmi Harasgama, among others.
The fourth season of the show, which aired in 2022, saw the marriage of Dr Lydia Fonseca, played by Redman, to Greg McConnell, played by Morrissey. Sources claimed that this storyline provided a perfect ending to the show, and bosses decided that the series had "run its course".
The show's creator, Dan Sefton, had initially expressed interest in continuing the series, stating that it could "keep going and to continue to be entertaining". He envisioned a slow evolution for the show, introducing new characters while favourite characters moved on.
Despite the show's cancellation, fans can still enjoy streaming seasons 2-4 on the ITV Hub. The Good Karma Hospital remains a beloved series that has left a lasting impression on its audience, with viewers praising its intelligent writing, engaging characters, and beautiful scenery.
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The fourth series aired in 2022
The Good Karma Hospital aired its fourth and final season in 2022. The series, which is set in South India, was shot on location in Sri Lanka.
The fourth series saw the return of Amanda Redman, Amrita Acharia, Neil Morrissey, Darshan Jariwala, and Nimmi Harasgama, who reprised their roles. Actress Rebecca Ablack joined the cast as Dr Nikita 'Niki' Sharma, a newly qualified doctor. Raquel Cassidy, Ace Bhatti, and Chetna Pandya also joined as guests for key storylines.
The series focused on the staff at a rural hospital in South India, including Dr Ruby Walker, a British-Asian doctor, and Dr Lydia Fonseca, who runs the hospital. The fourth series saw Dr Lydia Fonseca get married to Greg McConnell, despite some last-minute cold feet.
The Good Karma Hospital was produced by Tiger Aspect Productions for ITV and was written by former doctor Dan Sefton. The series received positive reviews, with an average audience of 5.9 million viewers across its third series.
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The show was filmed in Sri Lanka
The Good Karma Hospital is a medical drama series that aired for four seasons on ITV from 2017 to 2023. The show followed junior doctor Ruby Walker, played by Amrita Acharia, who left her life in the UK to take a job at The Good Karma Hospital in South India. Despite the story being set in India, the show was actually filmed in Sri Lanka.
The show's first season received positive reviews, with Gayle Pennington of the St. Louis Post Dispatch describing the series as "a magical combination of familiar and exotically foreign…. a drama you’ll remember long after you finish watching it."
The show was primarily filmed in Unawatuna in southern Sri Lanka, with additional filming taking place at the Thiranagama Golden Beach Restaurant and other locations in the Galle District.
Actress Amanda Redman, who played Dr. Lydia Fonseca, expressed her excitement about returning to Sri Lanka for filming the fourth season, stating: "After such a difficult and challenging year for the whole world and film industry, it is an honour to return to our beloved Sri Lanka with its wonderful film crews and actors to make this much-loved series four possible."
The show's creator, Dan Sefton, had initially expressed interest in continuing the show beyond four seasons, stating that "I think this is the case with this show, it has the potential to keep going and to continue to be entertaining because that's the ultimate goal." However, in November 2022, it was announced that the show would not be returning for a fifth season.
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The show's creator, Dan Sefton, wanted to make a fifth season
The Good Karma Hospital, a medical drama series produced by Tiger Aspect Productions for ITV, has been cancelled and will not return for a fifth season. The series, which followed junior doctor Ruby Walker (played by Amrita Acharia) who left her life in the UK to take a job at The Good Karma Hospital in India, was met with positive reviews.
Despite the show's popularity, ITV decided to axe the series after four seasons, with sources claiming that the show had run its course. This came as a blow to fans, especially considering series creator Dan Sefton's earlier comments expressing his desire to make a fifth season. Sefton, who has also written for "Death in Paradise" and created "Trust Me" and "The Mallorca Files", felt that the show could continue to evolve and grow.
In an interview with RadioTimes.com, Sefton shared his thoughts on the potential for a fifth season: "I think we'll continue to evolve it gradually as seasons go by but we don't need to reinvent everything, I think that's the trick with TV, it needs to be a slow evolution". He further added, "I think this is the case with this show, it has the potential to keep going and to continue to be entertaining because that's the ultimate goal".
Sefton's vision for the fifth season included the introduction of new characters and the exploration of fresh storylines to keep the show engaging and entertaining for viewers. He understood the importance of gradual change, allowing favourite characters to move on while introducing new faces to keep the show dynamic.
Unfortunately, despite Sefton's enthusiasm and the show's success, ITV made the decision to end the series with its fourth season, leaving fans disappointed and longing for more.
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The show centres on the staff of a rural hospital in South India
The Good Karma Hospital is a medical drama series produced by Tiger Aspect Productions for ITV. The show centres on the staff of a rural hospital in South India and its patients and employees, including Dr Ruby Walker, a British-Asian doctor who takes a job at the hospital after her heart is broken in the UK. The show is shot in southern Sri Lanka and centres on the fictional Good Karma Hospital, an under-resourced and overworked cottage hospital run by strong-willed English expat Dr Lydia Fonseca.
Dr Ruby Walker, played by Amrita Acharia, is a junior doctor who becomes disillusioned with her life and broken relationship and decides to leave the UK. She finds a job at the Good Karma Hospital in India, which she discovers is run by Dr Lydia Fonseca. As a paediatrician, she performs minor surgical procedures and displays deep reserves of empathy.
The show also features other doctors, including Dr Ram Nair, Dr Gabriel Varma, Dr Samir Hasan, Dr Nikita Sharma, and Dr Aisha Ray. The series received positive reviews, with critics praising the setting, acting, and writing. The first season received an 80% rating on Rotten Tomatoes. Gayle Pennington of the St. Louis Post-Dispatch described the first season as "a magical combination of familiar and exotically foreign… a drama you’ll remember long after you finish watching it."
The Good Karma Hospital aired for four seasons on ITV, with the fourth season airing in 2022. It was cancelled after the fourth season, with bosses deciding the series had "run its course".
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Frequently asked questions
No, ITV's The Good Karma Hospital has been cancelled and will not return after four seasons.
The Good Karma Hospital is a medical drama series about a junior doctor, Ruby Walker, who becomes disillusioned with her life and broken relationship and decides to leave the UK for a job in South India.
The show is set in India but was filmed in southern Sri Lanka.
Dan Sefton has also written for Death in Paradise, Trust Me, and The Mallorca Files.



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