Capt. Sandy embarks on a new charter season in Athens, Greece. She welcomes back familiar face Aesha Scott to serve as her chief steward. It's a homecoming until the provisions fail to arrive before the guests and the yacht crew is forced to scramble. When the second stew struggles to wake the chef, the guests get an unexpected surprise.

The charter guests find themselves still without provisions, but two deckhands save the day by securing a surprise from a neighboring boat. Aesha struggles to keep the interior running smoothly as her third stew mismanages the laundry, resulting in guests missing their clothes. Two deckhands make an unsuccessful attempt at sneaking around.

Capt. Sandy welcomes back a charter guest with high expectations. A deckhand and a guest drift too far away at sea, leaving Capt. Sandy questioning her bosun. As the yacht crew scrambles to address the guests' requests, the primary charter guest complains the food has not met their expectations.

As the deck team leaps into action to salvage a chaotic beach picnic, tensions escalate. The chef finds himself in hot water when charter guests complain to Captain Sandy before disembarking. Meanwhile, romance begins to blossom between more than two crew members.

Tensions flare when two stews pursue the same deckhand, causing heated confrontations. With a charter on the horizon, Aesha is rushed to the hospital due to an injury, leaving her interior team in disarray. Meanwhile, the deck team is still recovering from a difficult charter and struggles to maintain order.

Aesha's patience is tested when her stews' work starts slipping due to their transgressions. With tensions escalating, Aesha steps in to restore order and ensure the deckhands get their rest. A major mechanical issue prevents the anchor from lifting, leaving them stranded at sea.

To avoid being stranded at sea, Capt. Sandy must make a critical decision that could significantly impact the charter season. As tensions rise among the interior crew, Aesha attempts to broker a truce and struggles on the bow lead Capt. Sandy to question the bosun's decisionmaking. With wildfires encroaching on the marina, the crew must navigate an unprecedented environment.

Tensions escalate on the interior when a stew reports a concern to Aesha. Before heading to a nearby island, the crew struggles with undocking amidst nearby wildfires. Aesha gives her interior team added responsibility with lunch service, but after overhearing a series of walkie calls, she begins to doubt if they can manage it on their own.

After rough dockings, Capt. Sandy questions her bosun about safety concerns and trust. Romance and tension mix between a stew and a deckhand while another deckhand ends a relationship. A heated argument between two stews prompts Capt. Sandy to intervene on a most serious level.

The stews face an ultimatum given by Capt. Sandy. Aesha implements a new laundry system. A deckhand's song about their romantic dilemma is overheard. During a day off, a deckhand apologizes as romance escalates.

Aesha consoles Capt. Sandy after a heartbreaking loss. The guests go on an excursion and romance heats up as a stew asks a deckhand out, which is followed by quick regret.

The boat faces a catastrophic storm that exposes a major leak, putting the deck crew on high alert. Tensions rise as the stews voice their frustrations over a deckhand. As the storm intensifies, the interior crew's plans are thwarted, leading to chaos and challenges onboard.

A potential catastrophe looms when a near-fatal dish is serve; interior challenges come to a head as Aesha's team remains in disarray; after the storm, the crew manages to fix the leak in the uninhabitable cabin.

The arrival of a new stew sets the stage for mixed reactions among the crew; a deckhand is blindsided by bad news from home; Aesha's frustration peaks when she discovers the laundry room is still in chaos.

The stew dynamic gets further shaken up, sparking tension in the interior; two deckhands have a heated confrontationl a deckhand's flirting widens the divide in the interior.

As the crew tackles their final charter, tensions rise; a deckhand relationship intensifies, causing future doubts, while Aesha confronts a stew over boundary issues, escalating interior drama.

The crew work closely to make sure Captain Sandy's proposal goes smoothly without a hitch, but unexpected difficulties emerge; a fresh romance sparks on the last crew night out.

With Hannah’s back against the wall, Captain Sandy faces a difficult decision that could change the trajectory of The Wellington. Bugsy grapples with a new challenge, while Malia worries about Tom’s ability to navigate a chaotic first charter.

Andy rejoins the Valor crew to go deep discussing Ashton and Kate's terrifying fight, the dysfunctional crew dynamic, and Rhylee's frustrations with the deckhands.

Andy Cohen sits down virtually with the "Below Deck Med" crew to discuss all the departures, workplace drama and romance this season.

The cast gather online for the reunion; Hannah confronts Captain Sandy Yawn about why she doesn't trust her.

Down a stew in the wake of Hannah’s departure, Bugsy fights to keep the interior afloat with a skeptical Jess by her side. Malia struggles to manage a frustrated deck team, while helping Tom navigate his first charter. Finally, the interior team is relieved when a new Second Stew arrives onboard.

As the crew scrambles to get ready for a wedding that may or may not happen, Captain Sandy prepares to officiate for the first time. Meanwhile, Mat hopes to redeem himself after his disastrous first day and Katie sacrifices any breaks to help her team. Later that evening, the group’s first night out leaves some crew members feeling the love, while others clash in a big way.

Jess deals with a scary medical condition; Rob draws Malia's ire by continuing to underperform on deck.

Jess confronts Aesha over the guests’ group photo, while the rest of the boat races to mitigate the impending damage. Tom works to keep a lid on his frustrations, as Malia waits for the other shoe to drop. Meanwhile, Aesha makes a decision about her future and Rob is presented with an alternative to traveling with Jess to Bali.