Tonight’s sixth season finale of Royal Pains ends with a cliffhanger. How’s it been doing in the ratings? Will the USA series return for a seventh season or will it be cancelled instead?

Royal Pains follows the continuing adventures of a former ER doctor (Mark Feuerstein) from New York who, along with his younger brother (Paulo Costanzo), runs a concierge doctor business in The Hamptons. The show’s cast includes Reshma Shetty, Brooke D’Orsay, Campbell Scott, and Ben Shenkman.

Year-to-year, Royal Pains is way down in the ratings. Compared to season five’s numbers, season six is down by a whopping 43% in viewership (averaging 2.03 million) and is down 35% in the 18-49 demographic (registering a 0.5 rating).

While those numbers are disturbing — and could certainly lead to the show being cancelled — all of USA Network’s scripted series are struggling and the cable channel theoretically can’t cancel everything.

Of the show’s chances for a renewal, co-creator and executive producer Andrew Lenchewski told TV Guide, “We’re optimists at heart and we think that the storytelling that we’ve done and the way the show has performed hopefully will earn us a Season 7. We really tried very hard not to let that uncertainty dictate how we wrapped up our stories this season. We really just wanted to tell the best stories we could with the most satisfying conclusions that we could and at the same time, make sure that we left room for new stories to be told if we do get the opportunity to continue.”

What do you think? Are you hoping that Royal Pains returns for season seven — or is it time for the series to be cancelled?