Real Maggots were used on 'The Pitt' set to make scene authentic

Actor Noah Wyle said production took special care to ensure the maggots were handled ethically

The hit medical drama The Pitt took its signature realism to a whole new level in Season 2 by using real maggots in a particularly unsettling scene, producers and cast reveal.

In the show’s Episode 2 storyline, an unhoused patient arrives in the ER with maggots living under his cast and rather than rely solely on CGI or props, the production opted for the real thing to heighten the discomfort and authenticity of the moment.

Actor Noah Wyle, who stars in the series, shared behind-the-scenes insight on the use of the insects, joking that the season included more wriggly surprises than some viewers might want to see. He noted that, despite how creepy it may look on screen, production took special care to ensure the maggots were handled ethically.

“We had maggots on the show this year,” he said, adding that the crew made sure none were harmed during filming and that a dedicated maggot wrangler looked after them throughout the shoot.

The choice to use real maggots has sparked reactions from audiences and fans online, with some viewers admitting they’ll avoid watching the scene because of how visceral it appears. Others have pointed to how committed the series has become to depicting emergency medicine in all its messy, unpredictable reality — even in ways that make audiences squirm.

The Pitt, known for its gritty, authentic portrayal of hospital life and medical crises, continues to push boundaries in Season 2 by blending true-to-life details with dramatic storytelling that reflects the chaotic world of frontline healthcare.