After the tragic loss of her parents, Y/N is taken in by John Dutton, growing up alongside Beth, Kayce, Lee, and Jamie. Throughout her childhood, she harbors a secret crush on Jamie but never reveals her feelings out of respect for Beth. Now at 31, Sarah has become a dedicated ER doctor, navigating the challenges of her profession while still grappling with her unspoken love for Jamie amidst the chaos of the Dutton family's turbulent life.