He meets and forms a connection with Elliot Reid (Sarah Chalke) in the pilot episode and finds himself attracted to her. In seasons 1 to 3, a running joke in the series was that J.D. would sleep with Elliot at least once in each season, although the show's producers have indicated that this ended to prevent the characters' development being constrained by clichés. The two form a romantic relationship in the first season, but their romance quickly falls apart when they realize that they do not work as a couple.