Last night’s American Idol Hollywood Week came to a dramatic close with a performance that sent one contestant to the hospital.

The final night of this round’s performances had contestants performing solo with a live band, hoping to make an impression with the judges that moved them to the top 40.

Makayla Brownlee, 17, was about to sing a cover of “Rainbow” by Kacey Musgraves when she choked up and left the stage. Backstage, Brownlee collapsed and had a seizure as medical workers and the judges ran to her aid.

Brownlee has a condition called Vasovagal syncope that can cause a sudden rapid drop in heart rate and blood pressure that can lead to fainting. Common triggers include stress. After being taken to the hospital to get checked out, Brownlee returned and delivered a performance that left judge Katy Perry bawling. Brownlee moved to the top 40.

The pressure of Hollywood week started to get to other contestants as well. Marcus Tinsley, 28, flubbed his performance, forgetting the lyrics to OneRepublic’s “If I Lose Myself.” Turning in off-key performances: Sheniel Maisonet, 23, on Sam Smith’s “How Do You Sleep?” and Talin Everett, 20, on Sia’s “Bird Set Free.” It was the end of the road for all three.

Both 17-year-old Kimmy Gabriela, who sang “I’m Here” by Cynthia Erivo, and 20-year-old Genavieve Linkowski, who sang “In My Blood” by Shawn Mendes, earned standing ovations from Perry and spots forward in the competition.

Dillon James, 26, cemented his place in the top 40 with an original that mixed country, folk and indie rock. Joining James in singing an original song was 27-year-old country singer Lauren Mascitti, who sang “God Made a Woman,” inspired by her grandmother.

However, Robert Taylor, 27, Amelia, 23, and Jimmy Levy, 21, failed to impress with their original songs. Taylor and Amelia will get another chance to prove themselves, but it was the end of the road for Levy.

21-year-old Arthur Gunn put his own spin on “Have You Ever Seen the Rain?” by Creedence Clearwater Revival. Gunn’s composition was too complicated for the band to learn on such short notice so he was forced to perform with just his guitar. Gunn made the song his own, and made judge Lionel Richie tear up – and earning him a spot in the top 40.

19-year-old Louis Knight’s performance of “Hold Me While You Wait” by Lewis Capaldi moved him forward, as did 20-year-old Just Sam, who sang “I’m Here” by Fantasia.

Whitney Houston’s “I Wanna Dance With Somebody” proved to be a winner for 27-year-old Geena and 17-year-olds Cyniah Elise and Olivia Ximines, but Yzthasinger, 19, couldn’t compare and didn’t make the cut.

Camryn Leigh Smith, 16, stepped out of her comfort zone with “Always Remember Us This Way” by Lady Gaga. And Makayla Phillips, 17, did so with less success on “Cuz I Love You” by Lizzo. But both still made it to the next round.

The final round of Hollywood Week broke up real life college roommates Sophia Wackerman, 20, who sang “Somewhere” by Barbra Streisand and Sarah Isen, also 20, who sang “Light On” by Maggie Rogers. Only Wackerman moved forward.

The round also separated “Idol” couple Jonny West, 23, who sang an original, and Margie Mays, 26, who sang “Lost Without You” by Freya Ridings. Only West moved forward in the competition.

American Idol shut down rehearsals March 19th because of the coronavirus, so the timing of the rest of this season is uncertain. A previously taped episode from Hawaii featuring the top 40 contestants airs March 29th, followed by a hiatus until live shows begin.

Not all 40 singers that made it through were directly announced by name on the show. For now, the following people are packing their bags and heading to Hawaii:

Aliana Jester Amber Fiedler Arthur Gunn Bilaal Avaz Camryn Leigh Smith Cyniah Elise Demi Rae Devon Alexander DeWayne Crocker Jr. Dillon James Francisco Martin Franklin Boone Jeb Vonderbruegge Jonny West Jovin Webb Just Sam Kimmy Gabriela Lauren Mascitti Lauren Spencer-Smith Louis Knight Makayla Brownlee Makayla Phillips Nick Merico Robert Taylor Shannon Gibbons Sophia Wackerman Travis Finlay

AMERICAN IDOL Jonny West discovers his girlfriend Margie Mays did not advance in the competition :

AMERICAN IDOL Just Sam performs Im Here :

AMERICAN IDOL Louis Knight performs Hold Me While You Wait :

AMERICAN IDOL Makayla Brownlee performs Rainbow :

AMERICAN IDOL Makayla Brownlee suffers a seizure before her performance :