General Hospital spoilers tease that viewers will need tissues this week as the town mourns the loss of Sam (Kelly Monaco). Kelly was fired from the ABC soap, and they chose to kill her off, leaving a hole in the cast and on the canvas.

You’re gonna need the tissues to watch General Hospital the week of. The preview that ABC just dropped reveals that — well, as you’d expect — all of Port Charles is grief-stricken over the sudden and unexpected passing of Sam McCall.

The General Hospital canvas may soon be shaken up by a surprise pregnancy at the Quartermaine estate. However, who could be pregnant?