Elliot starts a sex-only relationship with intern Keith Dudemeister in "My Buddy's Booty," much to J.D.'s chagrin. Eventually, they begin a romantic relationship and, after navigating a rough patch, declare their love for each other. Keith proposes to Elliot at the end of "My Turf War," and she says yes in the following episode. However, Elliot soon realizes that she does not truly love him, and she cancels the wedding. He despises her for the rest of the season, but they finally bury the hatchet in the Season 8 episode "My Jerks," when she apologizes for hurting him.