Why did Harmony kill Neil on General Hospital?
Introduction
Warning: General Hospital spoilers aheadâŠ
In one of the biggest reveals in General Hospital historyâOK, maybe not quite as big as that time Faison peeled off his Duke Lavery face mask in 2012âshow writers have tied up one of the biggest loose threads of the year.
Harmony made the confession to Alexis that it was her who killed Dr Neil Byrne.
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As any self respecting GH fan knows, Alexis and Dr Neil have had feelings for each other for quite some time.
After their one night of passion, though, came a morning tinged with more than just regret: Neil was dead.
Now, after 19 months of keeping audiences on tenterhooks about who, why, and what happened to poor Neil, weâve finally got the answers we needed.
Right now, weâre telling you everything: why Harmony killed Neil on GH, how it all unfolded, and what happened next. Are you ready?
How did Harmony kill Neil on GH? Hereâs how it all unfoldedâŠ
Rising Suspicions
Almost immediately after Harmony moved in with Alexis, she raised Alexisâs suspicion when she knew her way around the houseâand more specifically, how she knew where to find carpet cleaner in the basement.
While Harmony initially denied having ever been in Alexisâs home, she came clean when Alexis cornered her about the topic.
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WellâŠalmost.
Harmony said that sheâd been in the house before when Shiloh sent her to talk with Kristina about Dawn of Day.
She explained that Alexis had been away at the time, and thatâwhile discussing Dawn of Dayâsheâd spilled some coffee and needed to clean it up.
Conveniently, this explained Harmonyâs knowledge of the layout of the house and where to find cleaning products.
Flashbacks
Following the semi-confession, Alexis is in a rush to get to work.
She leaves, and Harmony has a flashback to August 2020âand the night she murdered Dr Neil in Alexisâs house.
We see Harmony sneak up the stairs and into the room where Alexis and Neil are sleeping.
We watch her remove a syringe from her coat pocket and inject it into Neilâs arm. She slips out the door.
Harmony is clearly traumatized by her flashbackâŠbut itâll be a long time before she actually comes clean about what she knows.
Cyrus Renault refuses to take the blame
Harmony has always been a colorful characterâfrom her time at Pentonville Prison to her drug running for Cyrus Renault.
But when word got around about Neilâs death being linked to Renaultâs latest drug, things got tricky.
Renault knew his evil henchmen hadnât sold Dr Byrne the drugâbut it was totally plausible that Harmony, who was doing deliveries for Cyrus at the time, could have gotten her sticky fingers on it without him knowing.
Harmony Miller worked at Crichton Clark
While this clue might have been a bit of a stretch in the lead-up to Harmonyâs big reveal, but bear with usâŠ
Harmony Miller worked at Crichton Clark under her real name, Lorraine Miller.
At the time, Nina Reeves was also there, in a 20-year coma and pregnant.
Harmonyâwho changed her name after leaving the employ of Crichton Clarkâended up with baby Willow.
Ostensibly, sheâd adopted Willow from a woman named Joan at a commune in Colorado.
At around the same time, Dr Neil was also working with people at the commune.
Heâd begun working to help people escape cults after his late daughter Joanna had been involved in one.
At the same time, it was revealed that Neil had also spent some time working as a therapist when Harmony was seeking help.
Carly Corinthos caught Harmony out
Years after Dr Neilâs sudden death, GH still hasnât moved on entirely.
Carly Corinthos calls in to visit Alexis at home and catches Harmony burning a bunch of very official looking documents in the fireplace.
In typical soap opera style, she snags one, and reads it.
As it turns out, the papers Harmony is destroying are case notes from therapy sessionsâDr Neil Byrneâs therapy sessions.
The papers reveal that Harmony was one of Neilâs patients several years back and that she had confessed to him that Willow Tait was not her biological child.
In fact, it turned out that she had stolen Willow from the comatose Nina Reeves back at Crichton Clark.
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Why did Harmony really kill Neil on GH?

By General Hospital standards, itâs actually pretty simple:
Harmony had confessed the truth about her âdaughterâ Willow Tait to Neil Byrne in therapy.
He was going to tell Willow the truth about everything, so Harmony snuck into Alexisâs home to inject him with Cyrus Renaultâs street drug while he was sleepingâknowing he would overdose.
It all worked out fine for Harmony until Neilâs brother Brendan showed up.
By then, Harmony was trying to befriend Alexis and make amends for killing Neil in her own twisted way.
Brendan threatened to reveal everything he knew, so Harmony killed him, tooâleaving Alexis to take the rap and forever putting an end to any hopes of friendship.
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