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Each episode is about Hank making house calls and dealing with the eccentricities of this obscenely rich community.

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Each episode is about Hank making house calls and dealing with the eccentricities of this obscenely rich community.
community. As with other USA shows with a strong episodic premise, around 2012, the show has occasionally moved away from pure ClientOfTheWeek storylines and focused on more overarching drama and story in order to develop the characters and introduce future conflicts and plots while wrapping up older ones.
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** Lampshaded/played with in the episode where Evan and Paige get married. She reminds them that it's the first day of Hanukah... and is surprized that all three Lawsons not only didn't remember that it was, but don't even have any of the trappings with which to observe.
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Rename


* PaintingTheFourthWall: One episode involved a woman who only spoke Italian, with her words subtitled. She didn't understand when Divya asked her to roll up her left sleeve. Evan tries to explain, and his poor Italian is accurately conveyed by [[FunWithSubtitles his subtitles' bad grammar and whimsical font]]. When the woman he's talking to starts babbling, the subtitles eventually give up and go "Etc... Etc.... Etc..."

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* PaintingTheFourthWall: PaintingTheMedium: One episode involved a woman who only spoke Italian, with her words subtitled. She didn't understand when Divya asked her to roll up her left sleeve. Evan tries to explain, and his poor Italian is accurately conveyed by [[FunWithSubtitles his subtitles' bad grammar and whimsical font]]. When the woman he's talking to starts babbling, the subtitles eventually give up and go "Etc... Etc.... Etc..."
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* MySisterIsOffLimits: Subverted in "Keeping the Faith." Donald instructs Evan to take his sister/manager "to a nice restaurant, a place where a gentleman would take a lady." So the little sis is ''not'' off-limits, so long as you act nice.

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* MySisterIsOffLimits: Subverted in "Keeping the Faith." Donald instructs Evan to take his sister/manager "to a nice restaurant, a place where a gentleman would take a lady." So the little sis is ''not'' off-limits, so long as you act nice. To be fair, Donald is also over 7 feet tall and about 300 pounds of muscle so...
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* TelevisuallyTransmittedDiseases: Generally averted, most of the patients of the week have something odd (like Lyme Disease or scurvy), but nothing one-in-a-billion obscure.

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* TelevisuallyTransmittedDiseases: TelevisuallyTransmittedDisease: Generally averted, most of the patients of the week have something odd (like Lyme Disease or scurvy), but nothing one-in-a-billion obscure.obscure. Hank spends most of his time dealing with cuts and burns, broken bones, and hypertension.
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* TelevisuallyTransmittedDiseases: Generally averted, most of the patients of the week have something odd (like Lyme Disease or scurvy), but nothing one-in-a-billion obscure.
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** How adorkable? He's got a note card to help him remember what to do to [[spoiler: try and flirt with Divya.]]
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The third season premiered on June 29th, 2011.

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The third fourth season premiered on June 29th, 2011.6, 2012.
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** Ditto for Jeremiah and his feelings for Divya. He even denies it when Evan notices and says something. Had Jeremiah been more upfront with her to begin with, he could have saved himself some heartache.
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Removing wick to Did Not Do The Research per rename at TRS.


* DidNotDoTheResearch: In 2x03, Donald burns his hand on the steam of an espresso machine. While it will steam milk and heat it up, when out in the open like that, the steam is unintuitively cool and harmless.
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Royal Pains is a summer series airing on USANetwork about medical genius Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.

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Royal Pains is a summer series airing on USANetwork about medical genius Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee fiancée due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.






** [[spoiler: Off again as of the mid-seaon 3 premiere.]]

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** [[spoiler: Off again as of the mid-seaon mid-season 3 premiere.]]
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* Adorkable: Dr. Jeremiah Sacani

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* Adorkable: {{Adorkable}}: Dr. Jeremiah Sacani

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** Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"

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** Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"Nanny."
* Adorkable: Dr. Jeremiah Sacani
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Edited Coattail Riding Relative entry

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** Averted in Season 4. It turns out that Hank needs Evan to keep the business afloat, while Evan can get along fine without Hank. Even Eddie R. is working on getting his book published on its own merits.
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Royal Pains is a summer series airing on USANetwork about medical prodigy Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.

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Royal Pains is a summer series airing on USANetwork about medical prodigy genius Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.

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* ActorAllusion: EdAsner's character is almost always seen in [[Film/{{Up}} a bowtie]] Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"

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* ActorAllusion: EdAsner's character is almost always seen in [[Film/{{Up}} a bowtie]] bowtie]]
**
Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"
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* CosmopolitanCouncil: "Manimal" has an ArabOilSheikh in appropriate garb and a black man, plus a Russian and the ambiguously European-American Boris. This makes sense, given that it's about oil.
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* MsFanservice: Hot women seem to be the rule rather than the exception in this world.
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* OneOfUs: Evan is a Trekkie. When he finds out that Paige's ex-boyfriend is one, too--and has a private space company scheduled to launch ''next year''--he has a {{nerdgasm}}.
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** Interestingly, the professions of the seen Lawsons are incredibly stereotypically Jewish: Doctor (Hank), accountant (Evan), and shyster (Eddie). All you need is a lawyer and an academic and you have the Jewish home run.
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* SharpDressedMan: Evan, starting sometime 'round Season 3/4. Includes a WaistcoatOfStyle.
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** Played straight with [[spoiler:Evan and Hank parting ways and running separate businesses in the third season: as of the fourth episode, they've made amends and Hank is back with [=HankMed=].]]

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** Played straight with [[spoiler:Evan and Hank parting ways and running separate businesses in the third fourth season: as of the fourth episode, they've made amends and Hank is back with [=HankMed=].]]
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Whoops. Wrong season.


* PromotionToOpeningTitles: As of the fourth episode of season three, both Brooke D'Orsay (Paige) and Campbell Scott (Boris) have been upgraded to the opening credits, replacing Jill Flint (Jill Casey).

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* PromotionToOpeningTitles: As of the fourth episode of season three, four, both Brooke D'Orsay (Paige) and Campbell Scott (Boris) have been upgraded to the opening credits, replacing Jill Flint (Jill Casey).



** Jill herself is this as of the third season.

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** Jill herself is this as of the third fourth season.
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* PromotionToOpeningTitles: As of the fourth episode of season three, both Brooke D'Orsay (Paige) and Campbell Scott (Boris) have been upgraded to the opening credits, replacing Jill Flint (Jill Casey).


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** Jill herself is this as of the third season.


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* StatusQuoIsGod:
** {{Subverted|Trope}} with Jill doing charity work overseas. The writers kept coming up with ways to keep Jill in the Hamptons, up to and including her telling Hank that she lost the overseas job to someone else. Then, when it looks like she might join [=HankMed=], she gets offered a similar job with better benefits in the following episode, and ''does'' [[PutOnABus depart for Africa]].
** Played straight with [[spoiler:Evan and Hank parting ways and running separate businesses in the third season: as of the fourth episode, they've made amends and Hank is back with [=HankMed=].]]
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Who is him?


* EvenTheGuysWantHim: You have to wonder why Evan is always trying to get more info on him.
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Namespace changing.


Royal Pains is a summer series airing on USANetwork about medical prodigy Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.

to:

Royal Pains is a summer series airing on USANetwork about medical prodigy Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.
skills.



* ActorAllusion: EdAsner's character is almost always seen in [[{{Film/Up}} a bowtie]] Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"

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* ActorAllusion: EdAsner's character is almost always seen in [[{{Film/Up}} [[Film/{{Up}} a bowtie]] Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny" Nanny"



** Subverted: Jill and Divya have numerous conversations about subjects unrelated to men, Divya and Jill also have plenty of conversations with female patients about their health.

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** Subverted: Jill and Divya have numerous conversations about subjects unrelated to men, Divya and Jill also have plenty of conversations with female patients about their health.



* BlessedWithSuck: "Whole Lotto Love"'s client of the week deals with lottery winners, one of which is convinced that he was cursed. Eventually subverted: the lottery winner's streak of bad luck wasn't a curse.
* BlindIdiotTranslation: Jill thinks she heard "Es ist nicht ihr," and a translator reads it as "It is not her," but the actual German translation would be "It is not their." Could be a plot point, but even Google agrees with the correct version.
* BollywoodNerd: Divya. She's a brilliant physician assistant, and even the cover story she tells her parents is that she is attending Wharton.

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* BlessedWithSuck: "Whole Lotto Love"'s client of the week deals with lottery winners, one of which is convinced that he was cursed. Eventually subverted: the lottery winner's streak of bad luck wasn't a curse.
curse.
* BlindIdiotTranslation: Jill thinks she heard "Es ist nicht ihr," and a translator reads it as "It is not her," but the actual German translation would be "It is not their." Could be a plot point, but even Google agrees with the correct version.
version.
* BollywoodNerd: Divya. She's a brilliant physician assistant, and even the cover story she tells her parents is that she is attending Wharton.



* CanNotSpitItOut: Boris has this for the first season or so, going to ridiculous lengths to hide and/or find a cure for his condition, often alienating Hank, the one doctor who seems to thinks he can help him.

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* CanNotSpitItOut: Boris has this for the first season or so, going to ridiculous lengths to hide and/or find a cure for his condition, often alienating Hank, the one doctor who seems to thinks he can help him.



* TheCastShowoff:

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* TheCastShowoff: TheCastShowoff:



* FallenPrincess: [[spoiler: Divya, as of Season 3: her parents cut her off after she breaks off her engagement with Raj, even going so far as to have her car repossessed. She is reduced to crashing in Hank's guest room.]]

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* FallenPrincess: [[spoiler: Divya, as of Season 3: her parents cut her off after she breaks off her engagement with Raj, even going so far as to have her car repossessed. She is reduced to crashing in Hank's guest room.]] ]]



* GettingCrapPastTheRadar: In the first episode, it's clearly possible to see Boris' penis through his wet swimsuit.

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* GettingCrapPastTheRadar: In the first episode, it's clearly possible to see Boris' penis through his wet swimsuit.



* {{MacGyvering}} - The commercials boast about this aspect of Hank. One patient's girlfriend asks him, "What are you, [=MacGyver=]?" after he saves his life with a bottle of vodka, a BIC pen, duct tape, a sharp knife, and a sandwich bag. All of this he used to save a hemophiliac who had internal bleeding from a car crash.

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* {{MacGyvering}} MacGyvering - The commercials boast about this aspect of Hank. One patient's girlfriend asks him, "What are you, [=MacGyver=]?" after he saves his life with a bottle of vodka, a BIC pen, duct tape, a sharp knife, and a sandwich bag. All of this he used to save a hemophiliac who had internal bleeding from a car crash.



* PluckyComicRelief / CasanovaWannabe - Evan, whose BStory antics get painfully humiliating.

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* PluckyComicRelief / CasanovaWannabe - Evan, whose BStory antics get painfully humiliating.



* TheUnfairSex: Sherry throws her husband out, after following him and first assuming he's having an affair with ''Divya'', then storming out without learning what the real disease they have is. Turns out to be [[spoiler: Hansen's disease]], and ''her fault''.

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* TheUnfairSex: Sherry throws her husband out, after following him and first assuming he's having an affair with ''Divya'', then storming out without learning what the real disease they have is. Turns out to be [[spoiler: Hansen's disease]], and ''her fault''.



* XMeetsY: ''HouseMD'' meets ''{{MacGyver}}'' meets ''BurnNotice''. Or, alternatively, ''Burn Notice'' meets ''NorthernExposure'' meets ''MacGyver''.

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* XMeetsY: ''HouseMD'' ''Series/{{House}}'' meets ''{{MacGyver}}'' ''MacGyver'' meets ''BurnNotice''. Or, alternatively, ''Burn Notice'' meets ''NorthernExposure'' meets ''MacGyver''.



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** Also, Rosie from "Foreign Accent Syndrome" [[spoiler:in universe.]]

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** Also, Rosie from "Foreign Accent Syndrome" "After The Fireworks" [[spoiler:in universe.]]
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** Also, Rosie from "Foreign Accent Syndrome" [[spoiler:in universe.]]

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[[quoteright:350:http://static.tvtropes.org/pmwiki/pub/images/rp_9611.jpg]]

-->''"Those observant eyes of yours? You better keep 'em wide open, 'cuz you ain't seen nothin' yet!"''

Royal Pains is a summer series airing on USANetwork about medical prodigy Hank Lawson (played by Mark Feuerstein) who makes a decision triaging "some kid off the street" and saving him over a billionaire trustee (who he had declared stable) who subsequently died. The resulting legal backlash makes him lose pretty much everything he has, including his fiancee due to the emotional difficulties, and is blacklisted from any medical position even remotely worth his skills.

His brother Evan Lawson takes it upon himself to cheer his brother up by organizing a trip to crash a South Hampton party, which would be a party God would be at "If he could get in." By a twist of fate, Hank is around when a party attendant has an allergy attack and proves himself better able to handle these on-the-spot medical emergencies than the local concierge doctor.

Hank receives an offer to replace the older concierge doctor by the enigmatic German multi-billionaire [[OverlyLongName Boris Kuester von Jurgens-Ratenicz]], but he has some reservations about taking such a position because it caters exclusively to the wealthy (many of whom are very self-indulgent and self-absorbed). After discussing the issue with a newfound friend, the Hampton Heritage Hospital administrator Jill Casey, Hank takes up the job. Evan helps manage the finances of "Hank Med", and Physician Assistant Divya Katdare is his very savvy assistant.

Each episode is about Hank making house calls and dealing with the eccentricities of this obscenely rich community.

The third season premiered on June 29th, 2011.
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!!This show provides examples of:
* ActorAllusion: EdAsner's character is almost always seen in [[{{Film/Up}} a bowtie]] Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny"
* AffablyEvil: Eddie Lawson. He's a con artist who walked out on his own sons, then came back and swindled them out of their money. But, what're you gonna do? He's [[HappyDays The Fonz]].
* AmbiguouslyJewish: The Lawsons, until "Keeping the Faith," when it becomes more or less explicit. They aren't the least bit observant, though.
* AnnoyingYoungerSibling: Evan. Strangely, most of his StopHelpingMe acts seem to be motivated by genuine care for Hank's wellbeing...and his desire to get some tail.
* ArrangedMarriage: Divya is drifting towards accepting her arranged marriage to a childhood friend. At the beginning, she tried to call it off, but when the engagement ceremony came around, she couldn't bring herself to do it. However, it's not like she ''couldn't'' call it off or she hates the guy (he's kind of clueless and cheerful, actually); she's simply not certain she should be ''married'' to him.
** In the season two finale, [[spoiler: it's officially called off.]]
* AsYouKnow; Parodied in 2x13, when Jill is paired up with a famous golfer and two random people. They ask her if she knows his story. She says she does, and they're just so enthusiastic they tell her--and the audience--anyway.
* BelligerentSexualTension: Divya and Evan
-->'''Divya:''' Let's have dinner, but ''absolutely'' no conversation.\\
'''Evan:''' Like we're married!
** More or less ended now that Evan's with Paige and Divya has both Raj and the documentary film maker to keep her occupied.
* TheBechdelTest: Sadly, fail and season 3 is a really big offender.
** Subverted: Jill and Divya have numerous conversations about subjects unrelated to men, Divya and Jill also have plenty of conversations with female patients about their health.
* BigBrotherInstinct: Hank towards Tucker. [[spoiler:After Tucker's dad fires him, Hank still hangs around Tucker, saying he wasn't banned from being his friend.]]
* BlessedWithSuck: "Whole Lotto Love"'s client of the week deals with lottery winners, one of which is convinced that he was cursed. Eventually subverted: the lottery winner's streak of bad luck wasn't a curse.
* BlindIdiotTranslation: Jill thinks she heard "Es ist nicht ihr," and a translator reads it as "It is not her," but the actual German translation would be "It is not their." Could be a plot point, but even Google agrees with the correct version.
* BollywoodNerd: Divya. She's a brilliant physician assistant, and even the cover story she tells her parents is that she is attending Wharton.
* CaliforniaDoubling: Averted. Just as with ''BurnNotice'' for Miami, this show is filmed on-location in the Long Island / Hamptons area. However, Puerto Rico doubled for Cuba during the Boris-in-Cuba mini-arc, [[RealLifeWritesThePlot though it's not like they could just up and film in Cuba.]]
* CanNotSpitItOut: Boris has this for the first season or so, going to ridiculous lengths to hide and/or find a cure for his condition, often alienating Hank, the one doctor who seems to thinks he can help him.
* CassandraTruth: Hank, re: Eddie R. Evan and Ms. Newberg both seem erroneously convinced that he really can't be as bad as all that.
* TheCastShowoff:
** A small one, but the season 3 premiere has Hank juggling oranges for a bit.
** Reshma Shetty sings Ave Maria in an operatic Soprano in episode 313.
* CatapultNightmare: Jill is being afflicted by these after her "accident".
* CatchPhrase: Aristotle, the coolest taxicab driver in New York featured in "The Hankover", has ''got'' to make money on the deal ''somehow''. Also, Evan will say whenever meeting someone new "Hi, I'm Evan R. Lawson, CFO of [=HankMed=]."
* ChickMagnet: Both Hank and Evan have their moments.
* CoattailRidingRelative: Both Hank's brother and father try to use Hank to get rich.
* ComicallyMissingThePoint: In 1x03, "Strategic Planning", the Senator's wife is yelled at by her daughter for pressuring her son to play football as part of her plan to get him into the White House, unlike his father. (The son in question ''just'' wants to play football.) Then the wife, with a gleam in her eye, notes to Hank that her daughter standing up to her took almost...''Presidential'' leadership. The looks on Hank and Divya's faces are hilarious.
* ContinuityNod: When Evan tries to drum up business in the season 2 premiere, the people he talks to on the phone are all clients from Season One.
* TheDanza: Jill Casey, who is played by Jill Flint and Dieter, who is played by Dieter Riesle.
* DeadpanSnarker: Starting with '''everyone'''. Boris probably does it best.
* DidNotDoTheResearch: In 2x03, Donald burns his hand on the steam of an espresso machine. While it will steam milk and heat it up, when out in the open like that, the steam is unintuitively cool and harmless.
* DisappearedDad: Eddie was this until the beginning of Season 2.
* EasterEgg + GeniusBonus: In the season 2 premiere, [=HankMed=] has to save an infomercial star who got stuck in a vent. The ladder they set up just before the cut to commercial appears to be the "Little Giant", which is sold in infomercials.
* EccentricTownsfolk: Pretty much every resident of the Hamptons except our main characters.
* EvenTheGuysWantHim: You have to wonder why Evan is always trying to get more info on him.
* FakeCrossover: Trying to ride the popularity of ''BurnNotice'' they have Michael Westen send Hank a care package in a commercial. It contains C4 ("because you never know when you'll need a stable plastic explosive").
** Worth noting is that USA does this a ''lot'' with commercials for all of their shows. There's a crossover commercial with ''WhiteCollar'', too, though when the summer 2010 schedule got locked down they've been cross-promoting with ''Burn Notice'' since they both come on on the same night.
** A new set in late 2010 [[http://www.youtube.com/watch?v=yzS4b3m7i4Q&feature=channel started pairing]] [[http://www.youtube.com/watch?v=0fgspbQ9kOU&feature=channel Hank and Evan with Kate Reed]] from ''Series/FairlyLegal''.
** In a 2012 crossover commercial, [[WhiteCollar Neal]] praises Hank's set up as consignment doctor but wonders how he can keep up being a fake doctor. Hank dully points out it's probably a talent he [[DeadpanSnarker picked up during all those years of medical school]]. [[ComicallyMissingThePoint Neal praises his willingness to go for that long of a con]].
* FakeAmerican: The all-American Dr. Emily Peck is played by British Anastasia Griffith
* FakeNationality: The German Boris is played by a guy from New York.
* FallenPrincess: [[spoiler: Divya, as of Season 3: her parents cut her off after she breaks off her engagement with Raj, even going so far as to have her car repossessed. She is reduced to crashing in Hank's guest room.]]
* FemaleGaze: In 2x03, Emily Peck [[spoiler: Boris' new concierge doctor]] uses her rear-view mirror to check out Hank's butt as he jogs away.
* FemaleMisogynist: Emily Peck accuses Divya.
* FlorenceNightingaleEffect - Invoked by name by Hank after the young girl he saves during the pilot falls for him. And again when he saves the life of an attractive young woman's uncle in Cuba. [[spoiler:She doesn't agree.]]
* FootDraggingDivorcee: Jill's husband Charlie, who left her in favor of his job rather than work on their relationship, does this for pretty much the entire first season. Despite her wanting him to sign the papers long before he left, he keeps postponing it in an attempt to woo her. However, sometime between seasons 1 and 2, she finally gets him to sign them and he [[PutOnABus leaves]].
* GentleGiant: Donald (played by [[ProfessionalWrestling The Big Show]]), who plays the apparently very popular "Garbage Collector" in the ''Garbage Collector'' series of films.
* GettingCrapPastTheRadar: In the first episode, it's clearly possible to see Boris' penis through his wet swimsuit.
* HackerCave: Tucker has a very nice computer setup. However, it's in an open area, on the second floor, with a very nice view, and he's not a hacker. Considering he's a smart kid who knows how to deal with finances, it's possible, even likely, that the multi-monitor setup is for financial analysis (in real life, some may reach up to 6 monitors). The side effect of being a nice set up for other things like computer games is probably a bonus.
* HeroicBSOD: Hank goes into one after being fired and finding he's been black-balled. He sits around his apartment and watches TV. His brother snaps him out of it by pointing out that he should come to the Hamptons because a)he needs cheering up, and b)he's out of booze and his Netflix account was suspended.
* HonorBeforeReason: Divya feels honor bound to go through with an ArrangedMarriage. When she finally cancels the wedding she feels honor bound to repay her ex-fiance's family the money they spent on the engagement. She works a second job to raise the money which leaves her exhausted. Her insistence to keep this secret from Hank directly leads to her screwing up and endangering the life of a patient.
* HowWeGotHere: "The Hankover" ([[ShoutOut wink]], [[TheHangover wink]]) opens with Hank, Evan, and others the aftermath of a party at Boris' house, and Divya and Jill waking up in a taxi at some beach somewhere. "24 hours ago..."
* HypocriticalHumor + StereotypeReactionGag: When Evan finds out Divya's getting married, he starts going on about how awesome weddings are, what with getting to be with someone you love. Divya doesn't meet his eye, so he asks if it's an arranged marriage. Divya protests him applying the stereotype before admitting that yes, it's a ''strategic'' marriage.
* [[IHaveNoSon I Have No Daughter]]: [[spoiler: Pretty much Divya's parent's reaction to when she called off the marriage. Cutting her off from of all of her assets and throwing her on the street.]]
** Sadly this is TruthInTelevision, as some families treat their daughters as nothing more than objects to marry off as business deals. And if the daughter does not want to go through with it, the family will disown them.
* InformedAbility: In 3x08, we meet a female Boston Marathon champion runner who boasts of her perfect stride. However, when shown running, she clearly is at most only a recreational runner, occasionally showing form more like a T-1000 than Joan Benoit.
* InsultBackfire: In 1x11, Evan is admiring a boat, and Divya says something about him playing with something like it in the bathtub.
-->'''Evan:''' Well, the scale's about right, so...\\
'''Captain:''' I like this guy.
* [[ItsAlwaysSunnyInMiami It's Always Sunny in the Hamptons]]: Semi-justified in that the show is actually shot in the Hamptons (or at least Long Island), but ''really''? The other half is semi-justified in that anything that might ruin a shot is probably cut out since it suddenly raining during random scenes would likely ruin the mood or make it harder to film/get audio/etc.
** People in the Hamptons aren't usually out and about when it's raining.
* {{Jerkass}}: Dr. Van Dyke. A lot. He even tries to do a CPRCleanPrettyReliable stunt on Divya.
* {{Joisey}} - Evan and Hank are from there. It's fairly hard to tell. Likely through a combination of RealityIsUnrealistic (most accents aren't nearly as extreme as media likes to portray it) and exposure to a variety of accents, theirs has toned down to something else.
* KarmaHoudini: For all the crimes Eddie's committed, his total punishment amounts to six months in a white-collar prison, a few days of house arrest (which he doesn't even abide by), and [[spoiler: the opportunity to make amends with his estranged father.]]
* KilledOffForReal: [[spoiler: Jack.]]
* LimitedWardrobe: Hank's staggering amount of blue shirts.
* {{MacGyvering}} - The commercials boast about this aspect of Hank. One patient's girlfriend asks him, "What are you, [=MacGyver=]?" after he saves his life with a bottle of vodka, a BIC pen, duct tape, a sharp knife, and a sandwich bag. All of this he used to save a hemophiliac who had internal bleeding from a car crash.
* MaleGaze: One shot had Evan talking to Divya, who was at the top of some stairs. The angle reverses, and Evan is sharing the frame with Divya's butt.
* {{Meganekko}}: Divya, occasionally.
* MusicVideoSyndrome: There's a lot of music from [[TotallyRadical hip, fresh new bands]] over the scene transitions. Turned into SorryILeftTheBGMOn when Hank walks into a room with the patient while the music continues to play, loudly, and the patient has trouble hearing him. So Hank reaches out and turns off the nearby boombox. [[spoiler:Turns out the music playing loud was actually a symptom; the patient had gone slightly deaf.]]
* MyFistForgivesYou: The ending of 2x01 appears to set this up, but it ends up subverted in 2x02 as [[spoiler:Hank Lawson]] still harbors negative feelings towards [[spoiler: his dad]].
* MySisterIsOffLimits: Subverted in "Keeping the Faith." Donald instructs Evan to take his sister/manager "to a nice restaurant, a place where a gentleman would take a lady." So the little sis is ''not'' off-limits, so long as you act nice.
* NewMediaAreEvil: Invoked by an expectant mother who wanted her nieces and nephews to give up all their electronic devices while on the family's private island. She believes it makes it harder to connect with people.
* NonIdleRich: Divya.
* NoCelebritiesWereHarmed: A parody of VinceOffer (the Sham Wow Guy), "Spencer the Spaz", is the subject of the second season premiere.
* NotSoDifferent: [[TheRival Dr. Emily Peck]] claimed this to Divya, but a small-scale emergency subverted this.
* NotWhatItLooksLike: In the season one finale, [[spoiler:Jill goes looking for Hank to tell him something important. She finds him getting a palm reading, and from a distance it looks like they're doing something intimate. She's actually flirting with him after he just told her he's not interested in a relationship. Jill walks away without either of the two lovebirds "noticing".]]
* OncePerEpisode: Hank often has a habit of asking patients how bad their pain is in a scale of 1 to 10, which the patients telling them how his grading system is grossly inadequate.
** Inverted in "Hank and the Deep Blue Sea" when Jack asks Hank how bad his screw up is on a scale of 1 to 2.
* OverlyLongName: Boris Kuester von Jurgens-Ratenicz.
* PaintingTheFourthWall: One episode involved a woman who only spoke Italian, with her words subtitled. She didn't understand when Divya asked her to roll up her left sleeve. Evan tries to explain, and his poor Italian is accurately conveyed by [[FunWithSubtitles his subtitles' bad grammar and whimsical font]]. When the woman he's talking to starts babbling, the subtitles eventually give up and go "Etc... Etc.... Etc..."
** Considering that ''RoyalPains'' is made by the same folks who brought us ''BurnNotice'', which uses subtitles for nothing ''but'' jokes (and [[DeadpanSnarker pretty snarky ones]], at that), can we really be surprised?
* ParentWithNewParamour: Eddie Lawson and "New Parts" Newburg. Hank is not pleased.
* PluckyComicRelief / CasanovaWannabe - Evan, whose BStory antics get painfully humiliating.
** Evan technically loses said CasanovaWannabe status: he finally gets laid in Cuba and gets a girlfriend by means of being TheBeard first.
* PortmanteauCoupleName: In-universe. Evan calls Jill and Hank "Jank".
* PrettyBoy: Tucker.
* PrettyInMink - Ms. Newberg in the pilot.
* ProductPlacement: Everyone seems to use Apple computers.
** Blatant in the episode "It's Like Jamais Vu All Over Again" with Jill's new car.
** In 2x14, "Pit Stop", Evan hands Hank a prominently placed box of Wheaties™ ("Breakfast of champions!") while he dines on [[BrandX Fruity Pops]].
* ProperlyParanoid: Boris's measures to protect his privacy seem ridiculous, until the third season where it's revealed that [[spoiler: members of his massive ancient noble family have been feuding with each other for centuries, and Boris is now a prime target since he's just had a son who can inherit his fortune and title. Oh, and the mysterious "illness" that's been killing off the men in his family for generations? May not have been an illness at all. Someone's been poisoning him.]]
* PutOnABus: Charlie, who was supposed to fill the third part of an awkward LoveTriangle between Hank and Jill, is noticeably absent from the second season premiere. Jill remarks that she finalized their divorce and nothing of him is mentioned ever again.
* TheRival: Dr. Emily Peck, Hank's "temporary replacement," is now made into this. And as of "The Hankover", they now have FoeYay. More specifically, they slept together.
* RedOniBlueOni: The members of [=HankMed=] [[WeHelpTheHelpless go out of their way to those in need]] alongside catering to the rich. Dr. Emily Peck has shown herself to be more concerned with "Hollywood style" medicine while avoiding situations that could get her sued.
* RomanticFalseLead: Jill's ex-husband. In a nice variation, he's a pretty nice guy, not all that different from Hank himself. He does have one glaring flaw; his near-delusional refusal to accept Jill's leaving him could be seen as stalkerish.
* SeriousBusiness: Evan can get over a kidnapping attempt but how '' '''DARE''' '' you try to sell him counterfeit Cohibas.
** And again in "The Hankover".
-->'''Evan:''' "The stripper stole my van, and I think I killed Raj."\\
'''Hank:''' "[[LampshadeHanging And you led with the van]]?"
* ShoutOut:
--> '''Evan:''' Hankpops, [[TheHudsuckerProxy y'know...for kids.]]"
* SiblingTeam : Hank and Evan
* StopHelpingMe: Evan seems hellbent on getting [=HankMed=] more customers, over the insistence of Hank himself. When he buckles down to it, he ''is'' a good CFO.
* AThreesomeIsHot: Evan's reaction to seeing Jill and Emily in Hank's bed in "Pit Stop".
* TitleIn: The show made use of ''{{Fringe}}''-style 3D titles in "The Hankover".
* {{Tsundere}}: Divya, but especially concerning Evan, whom she can't seem to stand, and yet....
* TwoferTokenMinority: The four leads are the white Hank, Hank's brother Evan, Jill and Divya, an attractive Indian Englishwoman. [[InvertedTrope Both Hank and Evan are Jewish, so the "token minority" in this case may well be Jill, actually.]]
* TheUnfairSex: Sherry throws her husband out, after following him and first assuming he's having an affair with ''Divya'', then storming out without learning what the real disease they have is. Turns out to be [[spoiler: Hansen's disease]], and ''her fault''.
* VoiceWithAnInternetConnection: Usually over the phone, and usually Hank, but used literally in the late first-season episode where Evan, Divya, and the patient are stuck on a boat.
* WeHelpTheHelpless: In addition to making house calls for the rich, Hank regularly treats the town's lower class residents at no cost. This is often because these people cannot afford a private doctor under regular circumstances, and because they must dig through a mile of red tape to get treatment at the local hospital.
** For bonus points, a smaller-scale version of this resulted in his blacklisting. The kid was in critical condition, while the rich guy was apparently stable. Until he died, Hank had no reason to suspect there'd be complications.
** And as of "Mano a Mano," Hank's hospitality extends to people [[spoiler: who could be considered enemies of the state]] in Cuba.
** Due to the wealth (or lack there of) of some of Hank's clients, he occasionally gets paid in other ways. For instance, a fisherman pays Hank in fish. Evan, to his credit, has no problems with that and in 3x15 upon noticing a number of fresh fish in the refrigerator, asks if said fisherman is okay.
* WorstAid: The pilot episode in which Hank saves someone is rather...impractical.
* XMeetsY: ''HouseMD'' meets ''{{MacGyver}}'' meets ''BurnNotice''. Or, alternatively, ''Burn Notice'' meets ''NorthernExposure'' meets ''MacGyver''.
** ''BurnNotice'' is already ''MacGyver''y enough, so it's probably more like just ''House'' meets ''BurnNotice''.
* YouKeepUsingThatWord: In the second season two episode, Evan keeps using "subliminal" and Hank even tells him he should look it up.
* YourCheatingHeart: Divya's sister and husband make their arranged marriage work by sleeping with other people.
* YoyoPlotPoint: Hank and Jill's relationship is nearly reached this point, until it was resolved in the Season 1 finale. [[spoiler:They broke up, and have since shown interest in other people.]]
** [[spoiler:In effect again as of episode 16 of season 2.]]
** [[spoiler: Off again as of the mid-seaon 3 premiere.]]
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