The X-Files: Season 5, Episode 13

Patient X (1 Mar. 1998)
"The X Files" Patient X (original title)

TV Episode  |  TV-14  |   |  Drama, Mystery, Sci-Fi
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Ratings: 8.6/10 from 1,308 users  
Reviews: 2 user | 3 critic

Victims of alien abductions are being killed which confounds those responsible for the alien conspiracy. They also have a problem on their hands when Alex Krycek returns to the U.S. from ... See full summary »



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Episode cast overview, first billed only:
Alex Shostak Jr. ...
Don S. Williams ...
Ron Halder ...
Dr. Floyd Fazio
John Moore ...
2nd Elder
Raoul Ganeev ...
Guard (as Raoul Ganeen)


Victims of alien abductions are being killed which confounds those responsible for the alien conspiracy. They also have a problem on their hands when Alex Krycek returns to the U.S. from Russia. Maria Covarrubius tells them he has a boy with him that may be particularly problematic. Scully and Mulder meanwhile are at odds. Mulder no longer believes in the alien conspiracy theory convinced that it was all a hoax to hide government experiments. Scully believes the alien conspiracy to be true and visits Cassandra Spender who, like herself, was abducted and has an implant in her neck. She is the mother of FBI Agent Jeffrey Spender who asks her to leave his mother alone. Written by garykmcd

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Release Date:

1 March 1998 (USA)  »

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Aspect Ratio:

1.78 : 1
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Did You Know?


Alex Shostak Jr. worked 12-14 hours a day; make-up was applied to give the appearance that his eyes and mouth had been sewed up, and a small straw was pushed between his lips to give him water. He eyes couldn't open under the make-up, and he had to be guided by the crew members throughout the filming of his scenes. See more »


Mulder: One more anal-probing gyro-pyro levitating ecoplasm alien anti-matter story and I'm going to take out my gun and shoot somebody.
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References Batman (1966) See more »

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User Reviews

Role Reversal
24 November 2006 | by (Washington Terrace, Utah) – See all my reviews

After the hilarity of Bad Blood, the X-Files goes serious again with the two parter of Patient X and The Red and the Black. These two episodes don't have as much action as I like my mythology episodes to have, but the heightened drama makes up for it. I find it interesting at the beginning when Mulder is at some kind of alien abduction conference. If he is a disbeliever now, which he has been since the beginning of the season, then why is he attending this conference? It seems strange that he'd still want to attend. Veronica Cartwright is an excellent addition as a guest actor, as Cassandra Spender. She stands firm in her belief even when Mulder dismisses her. I love Scully's lines after she learns of Mulder's actions at the conference, saying that Mulder has invalidated his own work. There's some beautiful piano music by Mark Snow as Scully struggles to deal with learning about implants being in the burn victims, making it personal for her. We are introduced to the character of Jeffrey Spender in this episode. It's a very quiet introduction, considering the larger part he will be playing in the rest of the series. What makes Patient X so interesting to me is the role reversal of Mulder and Scully. You don't see it in the Monster of the Week episodes, even though Mulder has stopped believing since the season premiere. Seeing Scully come around to believing Cassandra's story is quite intriguing. Also, the introduction of the faceless men injects new life into the mythology and piques my interest even more. And, as usual, the cliffhanger leaves you at the edge of your seat.

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