General Hospital spoilers: Ava reclaims power, Jason tries to prevent a custody war ¡ª but will Kristina come clean?
On April 22, General Hospital brings intense twists as Carly risks an alliance, Jason tries to calm a conflict, and Kristina faces guilt. With emotions running high and major decisions ahead, viewers can expect plenty of drama and shifting loyalties in Port Charles

In the upcoming episode of General Hospital, Carly Spencer finds herself at the center of a risky choice. As she pushes forward with her own plans, there's a strong chance that she might betray Nina Reeves, threatening a bond they had worked to build. Nina, unaware of what¡¯s coming, shows up to reaffirm their agreement ¡ª but it could be too late.
Kristina struggles with her secret
Kristina Corinthos is deeply affected by what went wrong in the recent car sabotage plot. Feeling the pressure of guilt, she turns to Lucky Spencer, hoping to find clarity. During their conversation, Lucky gives her a hard truth: coming clean could bring serious fallout. Whether Kristina confesses or keeps quiet remains to be seen.
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¡ª General Hospital (@GeneralHospital) April 21, 2025
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Meanwhile, Alexis Davis continues to go against Diane Miller¡¯s legal advice. Rather than force Kristina into any action, Alexis chooses to settle matters on her own, even quietly paying Ava Jerome. Diane fears these quiet decisions may soon come to light¡ªwith consequences.
Tense decisions in the background
Trina Robinson shares her worries with Curtis Ashford about Kai Taylor¡¯s decision to go through with a risky medical procedure. Curtis wonders if Trina truly supports Kai or is simply afraid of the outcome. While Trina deals with that, Kai meets Drew Cain, who might have his own plans tied to politics in mind.
At the hospital, Ava Jerome celebrates a recent win. She heads to meet Ric Lansing, proud and confident that she¡¯s once again taking control of her world.
On another front, Jason Morgan tries to help Willow Corinthos. Knowing that Willow may soon head to a clinic in German, Jason asks her to speak to Michael and settle things before it¡¯s too late. He hopes to prevent their problems from turning into a painful custody fight.
From emotional confessions to shaken alliances, General Hospital proves once again that Port Charles never stays quiet for long.
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