Taylor Swift Nabs Yet Another Number One Song With ‘Patient Zero’ – Rolling Stone
Taylor Swift has secured her 16th number one single on the Billboard Hot 100 with “Patient Zero,” ending Ella Langley’s 24-week chart dominance and joining Rihanna as the only female solo artists to notch four number one hits in a single calendar year.
Patient Zero Pushes New Tracks into Hot 100
The track serves as the lead single from The Life of a Showgirl: The Encore, the expanded version of Swift’s 12th studio album. The release pushed all three other new tracks—“Cleveland!,” “Pink Clouding,” and “Babylon”—into the Hot 100’s top five, while sending the parent album back to the summit of the Billboard 200 for a 13th week. Swift’s previous 2026 chart-toppers include “The Fate of Ophelia,” “Opalite,” and “I Knew It, I Knew You.” Among those, “The Fate of Ophelia” previously held the longest run at number one for Swift with nine weeks.
The ascent of “Patient Zero” dethroned Ella Langley’s “Choosin’ Texas,” which had held the top spot on the Hot 100 for 24 weeks following its rise in February. With this latest addition, Swift joins Rihanna as the only female solo artists to earn four Number One hits on the chart in the same year.

Swift Describes Narrative Behind Patient Zero
Speaking to Capital FM, Swift described the narrative behind “Patient Zero” as an exploration of the dynamic when an ex-partner’s new romantic interest reaches out for advice, framing the lyrics “from the perspective and the side of the phone call of the ex who’s been through it before.” The rollout of the track’s accompanying music video followed an unconventional path, continuing a distribution strategy established earlier in the album cycle.
Days after The Encore arrived, Swift premiered the cinematic visual for “Patient Zero” at the 2026 MTV Video Music Awards. The video—similar to prior visuals for “The Fate of Ophelia” and “Opalite”—was not immediately available on YouTube. Instead, initial availability was restricted to theatrical screenings and exclusive windows on Spotify and Apple Music. This distribution choice runs parallel to YouTube’s decision to withdraw its data from Billboard’s chart calculations following recent methodology adjustments.

Commercial Reception and Extended Tracklist Performance
The commercial dominance of the extended album’s tracks occurred amid a mixed critical and fan reception online following the release of The Encore. While digital consumption metrics and streaming volume immediately propelled the new material to the upper echelons of the charts, critical commentary on the expanded project remained divided across digital culture platforms.
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