‘Grey’s Anatomy’ Texas Spinoff Finds Lead in Karla Souza

The “How to Get Away With Murder” alum reunites with Shondaland as the “haunted and cynical” doctor running the West Texas medical center November 11, 2026 @ 10:16 AM Karla Souza poses during the red carpet for the movie "Mexico 86" at Restaurante Covadonga on May 28, 2026 in Mexico City, Mexico. (Photo by Toya Sarno Jordan/Getty Images) The “Grey’s Anatomy” Texas spinoff has found its lead in Karla Souza. The “How to Get Away With Murder” alum will reunite with Shonda Rhimes for the medical drama spinoff. She will play Carolina “Lina” Hall, the “haunted and cynical” doctor running the West Texas medical center. Souza is the first actor cast for the still untitled spinoff from 20th Television and executive producers Rhimes, Betsy Beers, Meg Marinis and Ellen Pompeo. Rhimes and current “Grey’s” showrunner Marinis co-created the spinoff, which has been described as an edgy drama about a rural West Texas medical center. More to come…