The conclusion of the GH Nurses’ Ball 2019 episodes brought with it emotional moments and performances from the stage, and major drama with yet to come ramifications for several people of Port Charles.

After Ryan (Jon Lindstrom) knocked out Kevin and switched places with him, yet again, the serial killer is on the loose at the ball. Later, when Scott (Kin Shriner) is backstage and is upset about Ava’s (Maura West) relationship with Kevin, Scott comes face-to-face with “Kevin” and having enough, tries to grab Scott’s hand to stop him from leaving. But, lo and behold, off comes his prosthetic hand.  Next, Ryan clubs Scott over the head, who now is the only person that saw Ryan at the ball.

Elsewhere, Shiloh (Coby Ryan McLaughlin) confronts Willow (Katelyn MacMullan), after overhearing her conversation with Diane that she has a child, and he asks here if she was pregnant when she left “Dawn of Day”.  She claims she miscarried their child, but he refuses to believe a word out of her mouth and becomes irate.

Courtesy/ABC

Michael (Chad Duell) saves Willow and warns Shiloh to stay away from her and his family. An out-of-sorts Shiloh heads back to his table where Sam (Kelly Monaco), Lucas (Ryan Carnes) and Brad (Parry Shen) are.  Shiloh informs Sam that he just found out someone had his baby and deceived him.  Lucas and Brad are both alarmed.

The first musical performance of the episode was Ned (Wally Kurth) and Olivia’s (Lisa LoCicero) rendition of Seals & Crofts classic, “Get Closer”.  Wally Kurth and Lisa LoCicero remain one of the endearing duos on the show.

Meanwhile, the question. and of course. the big musical finale hinged on Josslyn Jacks (Eden McCoy), and if she would perform the song she wrote with Oscar (Garren Stitt) at his request and in his honor.  In the best scene of all the ball episodes this year, Sonny (Maurice Benard) finds a conflicted Joss outside the ballroom.  She says she thought she was stronger and could do this, but she isn’t.  An emotional Sonny shares with her how Oscar will always be with her, and be OK with whatever choice she makes. Sonny relates it back to Stone and his relationship with him while the young man was living and while he has been deceased.  Maurice Benard and Eden McCoy delivered in this tender scene.

Courtesy/ABC

In the next musical number, Valentin Cassasdine (James Patrick Stuart) attempts to calm down a drunken Nina (Michelle Stafford), who is all out of sorts due to her hatred of Willow.(and perhaps her lust for Jax?), by taking to the stage to perform his number.  This time, Stuart plays the piano and sings “Nothing without You” by Vienna Tang.  And once again, Valentin wowed the audience, and James sang beautifully, as he has each year at the ball.

Still undecided if she can perform, Josslyn worries she’s letting everyone down. Jax (Ingo Rademacher) comes to see her and reassures her, saying she doesn’t have to prove anything to anyone, she just needs to follow her heart.

Finally, Josslyn makes the decision to perform, and that she does in the emotional high point of the episode.  As she performs this song about the list of things she and Oscar were planning to do together before the young man died, and how she will carry it with her, she sees Oscar in the back of the ballroom in his tux singing with her and rooting her on.  Kudos to Eden McCoy for being the heartbeat of this year’s ball, along with Lynn Herring, who the ‘ball’ would not be the ball without Lucy Coe,

Courtesy/ABC

As the Nurses’ Ball winds down, Shiloh is becoming unglued, and as Sam tries to calm him down, he tells her she needs to finish her initiation tonight.  He says he needs her to be in the ‘trust’ and he needs her strength.  Oh-oh!  Will Sam go through with this to trap the guy, or are we going to witness a major backfire?

A massive light bulb has gone off in Lucas’ head and he tells Brad he believes Willow and Shiloh are Wylie’s birth parents. Brad doesn’t know what to say, and we all know why!

As Lucy is instructing the clean up crew to take everything down on the stage, the curtains open and Kevin is suspended in midair hoisted up, knocked out, and trapped in a straight-jacket!  Everyone is horrified.  Cut to Ava who is at her safe house preparing to kill Ryan all by herself.  She gets everything in place, while she sips on some booze and waits for Ryan to arrive, and sure enough, we come to the cliffhanger.   Ryan sees Ava from outside the widow.  What will happen next?

So, what did you think of the final installment of this year’s Nurses Ball? What did you think of the performances from Joss, Valentin, and Ned and Olivia? Will Ava kill Ryan, or will someone else do it? Share your thoughts via the comment section below. But first,check out Josslyn’s AKA Eden McCoy’s performance below.

WATCH: Josslyn fulfills Oscar’s last wish – to sing their original song at the #NursesBall. @RealEdenMccoy @itsgarrentho @phideaux_xavier #GH pic.twitter.com/DOhtKsCVZy

— General Hospital (@GeneralHospital) May 23, 2019