'Private Practice' Recap: 5 Big Reveals From the Season 6 Premiere

"Private Practice"

The fifth-season finale of Private Practice left Addision facing the difficult decision of picking between two hunky men who both envisioned a future with her and new son Henry. That question, as well as how Tim Daly's Pete would be written out of the ABC medical drama was answered Tuesday during the sixth-season premiere.

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Here's a look at the five biggest reveals from the episode, which like its title "Aftershock," created tremors in everyone's relationships. Warning: Spoilers ahead!

STORY: 'Private Practice' Cast Previews Season 6, Plays 'Death, Wedding or Baby'

1. Addison (Kate Walsh) has made her decision between Jake (Benjamin Bratt) and Sam (Taye Diggs) and it's … Jake. While the admittedly neurotic Addison reveals her insecurities are getting the best of her that she's dating a "Beckham" who's around women all day, he reassures her with a grand sweeping effort: Declaring that he's in love with her -- and giving up his place to move in with her (and Henry). With the move, Addison inches one step closer to really having it all.

2. Sam, meanwhile, isn't left out in the cold too long-- he's cozying up with Seaside's newest nurse, with whom he may or may not be happy to be seen in public despite a quick PDA where he immediately scanned the area for onlookers. Hmmm.

3. Pete (Tim Daly) is a no-show for his trial, where his fate for pulling a Kevorkian was to be determined. After most everyone finds reasons why (and why not) he may have fled the country to escape a conviction, the final scene of the hour reveals that poor Pete had a heart attack while he was jogging in the L.A. canyons. A stunned Violet (Amy Brenneman) is left with the task of telling their son, Luke, that he's going to grow up without his father. 

STORY: 'Private Practice' Cast Teases New Season of Anything Goes

4. Charlotte (KaDee Strickland) and Cooper (Paul Adelstein) are … pregnant! With triplets! An excited Coop is so giddy he can barely contain himself, while Charlotte -- who has never wanted kids -- seems to still be on that path despite becoming quite the mother to Mason.

5. Amelia (Caterina Scorsone) is a year sober and she has her friends, especially Sheldon (Brian Benben) to thank for helping her accomplish the feat. Meanwhile, Sheldon's over the moon that he's reconnecting with his ex with three-day romps once a month. But everything isn't coming up roses as Sam spots something wrong with Sheldon's blood work and has to give him a prostate exam. Looks like Amelia's request that Sheldon be around for a long time might be put to the test.

STORY: Shonda Rhimes Debating 'Private Practice's' Future Beyond 13 Episodes

The reveals set the stage for what could be Private Practice's final season, which showrunner Shonda Rhimes has said she's approaching with a "no-holds-barred" attitude in which no two episodes are the same and what's likely to be a monumental 100th episode next week when news of Pete's death spreads throughout the practice.

What did you think of the sixth season premiere of Private Practice? Are you sad to see Pete exit? Hit the comments with your thoughts. Private Practice airs Tuesdays at 10 p.m. on ABC.

Email: Lesley.Goldberg@thr.com; Twitter: @Snoodit