Good Karma Hospital, Season 4: Everything We Know Right Now

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Last Updated on January 26, 2022 by Stefanie Hutson

Amrita Acharia and Amanda Redman in Good Karma Hospital

If you're a fan of the British medical show Good Karma Hospital, you've probably been wondering whether there will be a Season 4. It's been two years since Season 3 aired back in October 2019, so it's understandable to wonder whether it's been cancelled. 

If you haven't already watched it, we strongly recommend checking it out HERE on Acorn TV

Will There be a Season 4 of Good Karma Hospital?

Good Karma Hospital (Season 3)

The good news is that YES, Good Karma Hospital will return for a fourth season. The show has been a hit both in the UK and abroad, and it's likely things would have happened sooner if not for the pandemic. It's made all TV production harder, but that's doubly true when a show requires international travel.

Earlier this year, creator Dan Sefton (who's also the creator of The Mallorca Files) stated that while he doesn't have specific dates to share, Season 4 of Good Karma Hospital has been commissioned by ITV and he's already hard at work on it. He said:

We are working on the next season of The Good Karma Hospital, which has been commissioned by ITV and that will be shot – we’re not sure when – in 2021 sometime, hopefully.

Regarding a date, he offered: 

We’re hoping it will come out in the winter of 2021/22 some time.

On June 30th, actor James Krishna Floyd tweeted about the upcoming season. 

Yes it's true #GoodKarmaHospital series 4 is officially happening. The lovely fans may have already heard through the online vine but it's being filmed at some point this year. And no, I have no idea which characters are in it, including Gabriel. But. GKH4. Is. Coming

UPDATE: ITV has now confirmed that Good Karma Hospital will return with new episodes in 2022. Cast and crew are now in Sri Lanka filming, so with a little luck, we could be seeing those new episodes by as early as next spring.

Star Amanda Redman was quoted saying:

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. We can’t wait to get started. The storylines are bigger and better than ever.

Who Will be in Season 4 of Good Karma Hospital?

Amanda Redman will be back as Dr. Fonseca in Season 4 of Good Karma Hospital

ITV has now confirmed that Amanda Redman, Amrita Acharia, Neil Morrissey, Darshan Jariwala and Nimmi Harasgama will all return for season 4 of Good Karma Hospital. Those paying close attention will notice nothing has been said about James Krishna Floyd, aka Dr. Gabriel Varma. 

Harki Bhambra (Call the Midwife) will be joining the cast as surgeon Dr. Samir Hasan, a charismatic doctor who left Britain over an unknown trauma. Rebecca Ablack (Let it Snow) will also be joining the cast as Dr. Nikita “Niki” Sharma, the newly qualified daughter of a successful surgeon.

Guest stars for the new season will include Ace Bhatti (Line of Duty, Alex Rider), Raquel Cassidy (Downton Abbey) , Connor Catchpole (Enola Holmes, Pursuit of Love), Chetna Pandya (Feel Good) and Jonas Khan (Our Girl, The Ipcress File).

When Will Good Karma Hospital Season 4 Premiere?

In the UK, season 4 began airing on the 23rd of January in 2022. New episodes air weekly, and the season is six episodes long.

No US premiere date has been offered yet, but with any luck, we'll know more soon. The first three seasons are available to US viewers HERE through Acorn TV. Though we've yet to receive confirmation, it seems likely that they would be the service to offer the new episodes. 

What's Happening in Season 4 of Good Karma Hospital?

What will happen with Dr. Gabriel Varma in Series 4 of Good Karma Hospital?

There's been no official indication of what will happen in the new season, but we assume they'll have to start with some answers about that Season 3 cliffhanger. We'll avoid going into any further detail about that out of respect to those who haven't yet watched. 

Creator Dan Sefton has been playfully vague about the topic, saying it will be, “More of the same really. I think the last season of Good Karma Hospital was the most successful yet.”

Given that two new doctors will be joining the case, it seems safe to assume we'll be seeing some stories that explain how and why they came to the clinic. 

Where is Good Karma Hospital Set? And Where is It Filmed?

The beach at Unawatuna in Sri Lanka

Good Karma Hospital is set in a small village in the south of India (the state of Kerala). In reality, though, it's filmed in Sri Lanka.

The majority of the filming locations are located in and around the town of Unawatuna. It's a coastal town in the Galle district, and it's known for it's incredible biodiversity. That makes it a popular spot for eco-tourism. A small teacher's college is the setting for the hospital.

You can have a walk around in the Google StreetView window below. Though it doesn't let you walk through the gates, you can still get a peek towards the buildings and virtually stroll about the neighbourhood.


The show uses a mix of experienced and inexperienced cast and crew members, including quite a bit of talent from Bollywood and Colombo (in addition to those they bring from the UK). Rain and heat are always a challenge in a location like Sri Lanka, but somehow they manage – and we're glad they do.

Will You be Tuning in for Season 4 of Good Karma Hospital?

After the cliffhanger ending in Series 3, we definitely won't miss it! In the meantime, we might just have to do a re-watch to make sure we're all caught up for its return.

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