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Filming

Principal photography began in April 2019, in New York's Hudson Valley. On May 9, 2019, a fire erupted on the set of the series at a used car dealership in Ellenville. The building, film equipment and 20 vintage cars were destroyed. There were no injuries but it put filming on hold.

Poughkeepsie was used for many of the scenes set in Three Rivers, with the Mid-Hudson Bridge visible in the background of the cityscape in most establishing shots. The Birdsey family home is at the corner of Delafield and Hoffman streets. The Vassar College campus is used for scenes set at the University of Connecticut, and Dr. Patel's office is in a strip mall on U.S. Route 9 south of the city. A flashback scene in a later episode required covering Mount Carmel Avenue with dirt to recreate a pre-automotive era. The casino in the closing scenes of the series is the new patient pavilion at Vassar Brothers Hospital, still under construction while it was used in the production.

Elsewhere in Dutchess County, Dominick and Joy's apartment is at Pleasant Valley Estates, and he and Leo play their racquetball match at a Fishkill club; Seasons restaurant in that community was also the location for some scenes. The flashback to 1922 was filmed at the Market Street Industrial Park in Wappingers Falls, where the costumes and sets were stored as well. Many of the mental hospital scenes were filmed at the Taconic Development Disability Services offices in Wassaic.

Across the Hudson River, Thomas's initial breakdown in the opening scene was filmed in the Newburgh library, looking out across the river, and Dominick and Dessa are shown entering the terminal at Stewart International Airport near that city in flashback, where she boards a flight for Europe. In addition to the Ellenville car dealership used for the scenes with Leo, some other locations in Ulster County were used, including Awosting Falls in Minnewaska State Park Preserve on the Shawangunk Ridge west of New Paltz. The Springtown Truss Bridge on the Wallkill Valley Rail Trail across the Wallkill River north of that village, also known for its use in the opening scenes of the 2018 horror film A Quiet Place and its 2021 sequel, was used for the flashback scene where Dominick and Thomas's grandfather throws a bag with a live monkey into the river. A section of U.S. Route 209 outside Kingston also was used for a confrontation between Dominick and Thomas in the first episode; the road was closed for two days in both directions for filming.

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