Dylan Keogh prepares to reveal the truth to Matty in a moment that could change everything
Next week on Casualty, one of the most emotionally charged storylines of the Learning Curve boxset reaches a turning point as Dylan Keogh finally faces the reality he has been trying to avoid: Matty is his son — and the truth cannot stay buried much longer.
For Dylan, a man who has built his life around clinical logic and emotional distance, this revelation is not just personal — it’s destabilising. And in the upcoming episode, viewers will see the cost of carrying a secret that refuses to stay quiet.
A discovery Dylan can’t ignore

After privately confirming the paternity bombshell, Dylan initially convinces himself that silence is the safest option. He tells Stevie he plans to act as though nothing has changed — that Matty doesn’t need the truth, and that revealing it would only create unnecessary chaos.
But Dylan’s actions tell a different story.
His frustration spills into the workplace, and he becomes unusually harsh with Matty during a tense moment in resus. Colleagues notice the shift. Stevie, in particular, recognises that Dylan’s reaction isn’t about performance — it’s about fear.
Matty’s confidence begins to falter
What complicates Dylan’s silence is its unintended impact on Matty. In quiet conversations overheard later in the episode, Matty admits he has started doubting himself since joining the ED, feeling pressure he can’t quite explain.
Stevie begins to suspect that Dylan’s distance may be affecting Matty more than he realises. She urges Dylan to reconsider his approach — reminding him that mentorship isn’t just about clinical feedback, but emotional responsibility.
It’s a conversation that lingers long after it ends.
A decision Dylan never thought he’d make
By the close of the episode, Dylan reaches a conclusion he has resisted from the start: he is going to tell Matty everything.
The choice isn’t driven by courage, but by inevitability. Dylan understands that truth delayed is rarely truth avoided — especially in Holby City, where secrets have a habit of surfacing at the worst possible moment.
Whether he will actually follow through remains uncertain, but the emotional groundwork has been laid.
Why this storyline resonates
Dylan’s arc is powerful because it explores something rarely addressed in medical dramas — the idea that personal history doesn’t pause for professional duty. While doctors are trained to separate emotion from action, Dylan is learning that some truths refuse to stay compartmentalised.
His struggle also adds depth to Matty’s character, shifting him from confident newcomer to someone unknowingly standing at the centre of a life-altering revelation.
What comes next?
As the boxset continues, viewers are left with one pressing question:
Will Dylan find the courage to speak before someone else uncovers the truth first?
Because in Holby City, the most explosive revelations rarely come from the people trying to protect them.
And if Dylan Keogh finally chooses honesty, the fallout could redefine both his future — and Matty’s — in ways neither of them are prepared for.