Trivia: Royal Pains

  • Actor Allusion: Ed Asner's character is almost always seen in a bowtie
    • Also in the episode "Me First", Madeline Zima plays a nanny. One of Zima's well know roles was of Grace Sheffield on "The Nanny."
    • In "Pregnant Paws", Claire Coffee plays an animal boarder who contracts a serious infection from a cat scratch. On Grimm, she plays Adalind Schade, a witch who places a curse on Juliette via a cat scratch.
  • The Cast Showoff:
    • A small one, but the season 3 premiere has Hank juggling oranges for a bit.
    • Reshma Shetty sings Ave Maria in an operatic Soprano in episode 313.
  • The Danza: Jill Casey, who is played by Jill Flint and Dieter, who is played by Dieter Riesle.
  • Fake American: The all-American Dr. Emily Peck is played by British Anastasia Griffith
    • Canadian Paolo Costanzo as New Yorker Evan R. Lawson.
  • Hey, It's That Guy!: Henry Winkler as Hank and Evan's dad in the second season premiere.
    • In 1x02, Britta plays a ballerina.
      • And in the wedding movie, the Lawsons' cousin is "Fat Neil".
      • And in "Pregnant Paws", the shock jock is Abed. Oddly, his name's Garrett.
    • In 1x08, Tobias Beecher plays a illustrator, including a joke about the cartoon characters doing time.
    • In 2x02, Chloe O'Brian appears as New Part Newberg's stepdaughter
      • 2x09 featured Ethan Kanin as General William Collins, Paige's father, who disapproves of Evan.
    • In 2x03, Paul Wight AKA The Big Show appears as a famous movie star. Hilariously, they reference his wrestling name.
    • In 2x08, Bill Belamy plays Aristotle philosopher-king cabbie of New York City who takes Jill and Divya for a night on the town.
    • Paige does double duty as the pre-death version of the protagonist of Drop Dead Diva.
    • Looks like Dr. Taub moved to the Hamptons and now knows nothing about medicine, but still likes high living and beautiful women.
    • Ed Asner as the Larsen/Roth patriarch in "The Shaw/Hank Redemption".
    • Evan was Aximili-Esgarrouth-Isthill (Ax for short) on the live-action adaptation of Animorphs.
    • There's also an in-universe example when Evan suspects Jack's doctor of being a former child star. He's right.
    • Apparently Loretta Stinson has something against Hank Med.
    • Maya from "Pregnant Paws" is Adalind Schade, which makes the cause of her illness an Actor Allusion. note 
  • One of Us: Evidently, someone who works on the show lurks TV Tropes: in the fourth season episode "Dawn of the Med," Hank uses the term "Ninja Pirate Zombie Robot" to describe one of Evan's old Halloween costumes.
    • Evan is a Trekkie. When he finds out that Paige's ex-boyfriend is one, too—and has a private space company scheduled to launch next year—he has a nerdgasm.