Home and Away spoilers follow from Australian-pace episodes, which some UK viewers may prefer to avoid.
Xander found himself in the firing line as Mackenzie Booth's health became a major cause for concern again.
Monday's episode on Channel 7 in Australia saw Mac rushed back to hospital after a scary incident that took place while she was recovering at home.
A few weeks ago, Mac was left fighting for her life after a sudden health scare while she was working at Salt.
She was subsequently diagnosed with a heart attack caused by a Spontaneous Coronary Artery Dissection – a condition that involves a tear forming in the wall of a coronary artery, which supplies blood to the heart.
More recently, Mac experienced further symptoms and headed back to the hospital, but left again when it was decided that she'd probably suffered a panic attack.
In Monday's episode, Mackenzie's housemate Mali Hudson was horrified to find her unresponsive in bed. He called an ambulance to get her the emergency help she needed.
At the hospital, Dr Levi – who's the estranged brother of established character Eden Fowler – determined that Mackenzie had a blood clot forming.
He was quick to blame Xander for this, pointing out that the former paramedic had supported Mac's decision to discharge herself from hospital rather than staying in for observation.
Levi ranted: "If she is [going to be okay], it'll be no thanks to you. This is why we don't encourage people to leave hospital before they're ready.
"You enabled her – you put her in a car and you took her home. Clots could be forming in her arteries as we speak, putting her at risk of another heart attack.
"If she had have been here, she would have been closely monitored and it never would have got to this stage. Do you understand that?"
Although Xander protested that Mac had made her own decision, he later confided in Mali, Tane Parata and Alf Stewart about how he felt responsible for his friend's condition.
With the season finale looming, will Mac pull through?
Home and Away fans in the UK will see these scenes on Channel 5 early next year. The show is currently on its Christmas break in the UK, making way for the channel's afternoon Christmas movies.
Home and Away returns to Channel 5 in January. In Australia, the show airs Mondays to Thursdays at 7pm on Channel 7 and streams on 7plus.
Selected classic episodes are available via Prime Video in the UK.
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