General Hospital Fans Are Convinced Nathan Is An Imposter — The Clues You Missed

General Hospital just dropped a soap shocker: Nathan West has seemingly risen from the grave, with Ryan Paevey back on screen. But as Port Charles embraces its fallen hero, fans are spotting red flags—and many are convinced this Nathan is an imposter.
General Hospital just did the soap-iest thing possible: a fan favorite who was shot dead years ago suddenly shows up alive. Ryan Paevey is back on the canvas as Nathan West, and the show wants you to gasp. Fans? They’re squinting at the screen and asking if this is actually Nathan... or someone pretending to be him.
Quick refresher: Nathan was dead
Nathan West died from a gunshot in 2018. It was a big, definitive exit at the time. So when he popped up this fall, the immediate reaction was equal parts shock and suspicion.
How the show brought him back
Paevey returned in September. Nathan was hauled into the hospital after a car crash, disoriented, and apparently missing a chunk of memory from the last several years. Classic daytime amnesia move.
Why fans are side-eyeing it
There was one moment that really set off alarms: Britt’s reaction. While her mother was thrilled to see Nathan alive, Britt looked tense, not relieved. That, plus the convenient amnesia, has viewers building theories fast.
- Amnesia after a car crash is the perfect cover for someone not being who they say they are.
- Britt’s not-excited face when she saw Nathan alive reads less like shock and more like suspicion.
- Behind the scenes, Paevey says he was asked back to enrich storylines for characters in Nathan’s orbit — which sounds like the return is designed to mess with those relationships, not just undo a death.
- Paevey keeps hinting the storyline is not straightforward, teasing a shake-up rather than a simple resurrection.
What Paevey is saying
In September, Paevey told TV Insider that executive producer Frank Valentini pitched him on ideas involving other characters connected to Nathan, and asked if he’d return to help make those arcs richer. He also teased that this stint would feel very different from his last run — on purpose.
"This go-round is definitely going to be wildly different than the last one was. We’ve got some fun stuff planned. We’re going to stir the pot. I wouldn’t come back for something vanilla. It’s going to be a blast."
So... is this Nathan or not?
The show hasn’t confirmed anything, but it’s not exactly playing coy either. Between the amnesia, Britt’s uneasy reaction, and Paevey telegraphing a twisty, non-vanilla story, it feels less like a straightforward back-from-the-dead and more like a surprise identity play. Fans clearly think so, and honestly, the clues are hard to ignore. For now, assume the point of this return is to rattle everyone closest to Nathan — whether or not it’s actually him.