Big Trouble!!! Days Monday Episode: Sarah is rushed to the hospital. Will she die? | Days of Our Lives Spoilers
Salem is in chaos once again, and Days of Our Lives fans are bracing themselves for a Monday episode that promises heart-stopping drama, shocking confessions, and life-or-death consequences.
On November 24th, the stakes could not be higher as Sarah Horton finds herself in a perilous medical crisis—one that will leave Brady Black and the entire Horton family reeling.
This episode begins innocuously enough, with Sarah enjoying a simple dessert outing. But what should have been a peaceful, lighthearted afternoon quickly spirals into terror.
Sarah, who suffers from a severe pistachio allergy, unwittingly consumes ice cream laced with the very nut that threatens her life. The culprit? None other than young Rachel Black, whose jealousy over Sarah’s connection with her father, Brady, drives her to make a reckless and potentially deadly decision.

The tension escalates at the local pub, where Sarah’s innocent bite triggers a sudden and violent allergic reaction. Her airways constrict, her face pales, and the room transforms from casual chatter to full-blown panic in an instant. Brady, witnessing the woman he cares for struggle to breathe, is gripped with terror. Every second counts as patrons rush to help, realizing that this is no ordinary medical emergency. The moment captures the sheer unpredictability and intensity that fans have come to expect from Salem’s daytime drama.
Amid the chaos, Rachel experiences a sudden pang of conscience. Perhaps the reality of her actions finally pierces the veil of childish impulsiveness and jealousy, or maybe lingering trauma from past events—including the infamous baby switch—triggers a delayed sense of morality. She frantically attempts to stop Sarah from eating the ice cream, but her warning arrives tragically late. The consequences of her actions, and the urgency of the moment, set in motion a chain of events that will forever alter relationships and trust in the Black household.
As Sarah gasps for breath, the episode cleverly intertwines her crisis with a long-buried secret in Rachel’s mind. The intensity of the moment unlocks suppressed memories of the night she shot EJ DeRa. The trauma floods back—the fear, the anger, the sound of the gun, and the horrifying realization of what she had done. Viewers witness a masterful convergence of past and present, where Rachel must confront the dark truths she has been burying for months. This revelation adds psychological depth to the episode, elevating it from a simple medical emergency to a multifaceted exploration of guilt, memory, and consequence.
Brady’s reaction to the unfolding events is a powerful mix of rage, fear, and desperation. Initially, he confronts Rachel with fury, demanding answers for her reckless actions. The betrayal cuts deeply: his daughter has endangered an innocent woman’s life and shattered the trust he had long placed in her. The raw emotion is palpable as Brady struggles to reconcile the daughter he thought he knew with the child who could commit such a dangerous act.
But Brady’s anger quickly shifts as Rachel breaks down and confesses to shooting EJ DeRa. In that moment, the complexity of his daughter’s trauma becomes painfully clear. Brady realizes that Rachel’s actions are not merely mischievous—they are the product of psychological wounds that have gone untreated for far too long. His concern deepens as he contemplates the legal, emotional, and moral consequences of both her attempted harm to Sarah and the confession about EJ.

The episode also shines a light on Kristen DeRa’s extraordinary maternal sacrifice. Kristen, long known for her cunning and occasional villainy, has been taking the blame for EJ’s shooting to protect Rachel. The revelation that Kristen has endured incarceration for a crime she did not commit underscores her devotion, even as it complicates the already tangled web of Salem relationships. Brady must now navigate the painful dual reality: protecting Sarah and supporting Rachel while reconciling the fact that Kristen has been silently suffering for her child.
Fortunately, spoilers confirm that Sarah survives this terrifying ordeal. Emergency medical intervention, likely involving a timely EpiPen and rapid transport to the hospital, stabilizes her condition. While her life is saved, the emotional fallout is far from resolved. Sarah’s sense of trust has been shattered, leaving her to grapple with the trauma of being deliberately poisoned by someone she tried to befriend. Meanwhile, Rachel faces a daunting journey of self-reflection and therapy, tasked with confronting her guilt, the impact of her violent tendencies, and the realization that even impulsive acts can have life-threatening consequences.
The episode doesn’t stop at the Black household. Salem’s larger web of intrigue continues to unravel in parallel. At the DeRa mansion, Susan uncovers unsettling truths about EJ’s laboratory and Marina’s mishandled diagnosis. Her intuition, combined with a mother’s unwavering instinct, exposes potential misconduct that threatens the safety and wellbeing of those in EJ’s orbit. Kayla Brady intensifies the investigation, pressing for transparency and ethical accountability in the laboratory, further layering tension and suspicion in the town.
Meanwhile, Aaron grapples with his unresolved grief over his son and his strained relationship with Sophia. His emotional breakdown reminds viewers that even outside the central crisis, Salem’s residents carry wounds that intersect with broader themes of family, forgiveness, and healing. Ari’s interaction with Gabby offers a poignant counterpoint, emphasizing empathy, understanding, and the long-lasting effects of past mistakes on younger generations.
As all these storylines converge, the episode masterfully balances suspense, emotional depth, and character-driven drama. The near-tragic ice cream incident is more than just a sensational moment; it serves as a catalyst, exposing hidden truths, igniting confrontations, and setting the stage for long-term consequences for the Black family and beyond. Brady must now reconcile his love for his daughter with the need for accountability, Sarah must process the trauma of being endangered, and Rachel must begin an intensive journey toward understanding and repairing the damage she has caused.
Monday’s episode of Days of Our Lives exemplifies why the series remains a daytime powerhouse. It weaves together family tension, personal trauma, and high-stakes suspense with seamless storytelling. As Thanksgiving approaches in Salem, the town is reminded that love and loyalty are constantly tested, secrets rarely stay buried, and every action—no matter how small—can ignite a chain reaction with profound consequences.
In the coming episodes, viewers can expect continued fallout from Rachel’s reckless behavior, Sarah’s recovery, Kristen’s hidden sacrifices, and the mounting pressure on EJ and Kayla to confront their own moral and ethical challenges. The interplay of personal trauma, family loyalty, and life-threatening crises will continue to dominate Salem’s landscape, keeping audiences riveted and emotionally invested.
Monday’s episode is more than a turning point; it is a dramatic reminder that in Salem, no one is safe from the consequences of secrets and impulsive choices. Days of Our Lives proves once again that it excels at combining pulse-pounding suspense with deeply human storytelling. Fans are left questioning what comes next, who will emerge unscathed, and how the Black family will navigate the intersection of love, betrayal, and redemption.
Stay tuned, because the events of this episode mark only the beginning of a harrowing journey through psychological trauma, family loyalty, and moral reckoning. The coming week promises confrontations, revelations, and heart-wrenching decisions that will shape Salem’s future and keep viewers glued to their screens.