Adult Content Warning

This work could have adult content. If you continue, you have agreed that you are willing to see such content.

• Yes, Continue
• No, Go Back

If you accept cookies from our site and you choose "Yes, Continue", you will not be asked again during this session (that is, until you close your browser). If you log in you can store your preference and never be asked again.

1. Dr. Issac koch by orphan_account

   Fandoms: Grey's Anatomy  

   • Not Rated
   • Graphic Depictions Of Violence, Major Character Death, No Archive Warnings Apply
   • M/M, Multi
   • Work in Progress

   13 Jul 2025

   Tags

   • Graphic Depictions Of Violence
   • Major Character Death
   • No Archive Warnings Apply
   • Alex Karev/Original Male Character(s)
   • Alex Karev/Original Character(s)
   • George O'Malley/Original Male Character(s)
   • Meredith Grey/Derek Shepherd
   • Lexie Grey/Mark Sloan
   • Arizona Robbins/Callie Torres
   • Alex Karev/George O'Malley
   • Alex Karev/Izzie Stevens
   • Preston Burke/Cristina Yang
   • Derek Shepherd
   • Miranda Bailey (Grey's Anatomy)
   • Meredith Grey
   • Izzie Stevens
   • Cristina Yang
   • George O'Malley
   • Alex Karev
   • Jensen Ackles
   • Mark Sloan (Grey's Anatomy)
   • Lexie Grey
   • Owen Hunt
   • Richard Webber
   • Addison Montgomery
   • Angst
   • Fluff
   • Smut
   • Bisexual Meredith Grey
   • Jealous Jensen Ackles
   • Jealousy
   • Protective Alex Karev
   • Forbidden Love
   • Forbidden
   • Hospitals
   • Surgery

   Summary

   Isaac Koch joins Seattle Grace as an intern alongside M.A.G.I.C. - brilliant, messy, and already in way over his head, torn between his feelings for George O'Malley, a fling with Lexie Grey, and a long, slow-burn disaster with Alex Karev, Isaac's journey is anything but clean
   told from his point of view in classic Grey's-style narration, this fanfic dives into identity, internalized homophobia, and the beautiful chaos of falling in love while trying to survive the surgical program from hell

   Language:

   English

   Words:

   16,436

   Chapters:

   22/?

   Comments:

   5

   Kudos:

   3

   Bookmarks:

   3

   Hits:

   310