Production designer Nina Ruscio and casting director Cathy Sandrich Gelfond dish on designing “triggering” hospital sets, casting for raw authenticity and how their time at Berkeley taught them to watch life closely, turning every detail into material for an immersive narrative.
Ask people what they love most about The Pitt, the HBO Max medical drama that debuted in 2025 and went on to sweep the Emmys, and the answer is almost always the same: It feels so real.