diff --git a/public/css/styles.css b/public/css/styles.css
index cf0672f..99b3fdb 100644
--- a/public/css/styles.css
+++ b/public/css/styles.css
@@ -439,7 +439,7 @@ body{font-family:'Inter',system-ui,sans-serif;background:var(--g50);color:var(--
 .shadess-flag-btn{font-size:11px;padding:2px 6px;}
 
 /* Settings page */
-.settings-page{display:flex;flex-direction:column;gap:0;max-width:800px;}
+.settings-page{display:flex;flex-direction:column;gap:0;}
 .settings-page .settings-section{padding:20px;margin-bottom:12px;border-radius:var(--radius);}
 .settings-page .settings-section h3{font-size:16px;font-weight:700;color:var(--g800);margin-bottom:14px;padding-bottom:10px;border-bottom:1px solid var(--g100);display:flex;align-items:center;gap:8px;}
 .settings-page .settings-section p{font-size:13px;color:var(--g600);margin-bottom:12px;line-height:1.6;}
@@ -548,10 +548,7 @@ body{font-family:'Inter',system-ui,sans-serif;background:var(--g50);color:var(--
 .lh-quiz-option input[type="radio"]{accent-color:var(--blue);width:18px;height:18px;flex-shrink:0;}
 .lh-quiz-option span{flex:1;}
 .lh-opt-correct{border-color:var(--green) !important;background:var(--green-light) !important;box-shadow:0 0 0 2px rgba(16,185,129,0.2) !important;}
-.lh-opt-correct::after{content:'\\2713';position:absolute;right:14px;color:var(--green);font-weight:700;font-size:18px;}
-.lh-quiz-option.lh-opt-correct,.lh-quiz-option.lh-opt-wrong{position:relative;}
 .lh-opt-wrong{border-color:var(--red) !important;background:var(--red-light) !important;box-shadow:0 0 0 2px rgba(239,68,68,0.2) !important;}
-.lh-opt-wrong::after{content:'\\2717';position:absolute;right:14px;color:var(--red);font-weight:700;font-size:18px;}
 
 /* Quiz results */
 .lh-result-item{margin-bottom:14px;padding-bottom:14px;border-bottom:1px solid var(--g100);}
diff --git a/public/js/app.js b/public/js/app.js
index 9265564..9a49c47 100644
--- a/public/js/app.js
+++ b/public/js/app.js
@@ -223,6 +223,18 @@ document.addEventListener('DOMContentLoaded', function() {
 // GLOBAL FUNCTIONS (must be outside DOMContentLoaded)
 // ============================================================
 
+// ── Set formatted text on output/contenteditable elements ──
+// Converts \n to <br> so line breaks survive in contenteditable divs
+// and are preserved when copying with innerText
+function setOutputText(el, text) {
+  if (!el) return;
+  if (typeof el === 'string') el = document.getElementById(el);
+  if (!el) return;
+  // Escape HTML, then convert newlines to <br>
+  var safe = String(text || '').replace(/&/g, '&amp;').replace(/</g, '&lt;').replace(/>/g, '&gt;');
+  el.innerHTML = safe.replace(/\n/g, '<br>');
+}
+
 // ── Announcement banner ────────────────────────────────────
 function loadAnnouncement() {
   fetch('/api/admin/config/announcement', { headers: getAuthHeaders() })
@@ -457,7 +469,7 @@ function refineDocument(outputElementId, inputElementId) {
   .then(function(r) { return r.json(); })
   .then(function(data) {
     hideLoading();
-    if (data.success) { doc.textContent = data.refined; input.value = ''; showToast('Refined!', 'success'); }
+    if (data.success) { setOutputText(doc, data.refined); input.value = ''; showToast('Refined!', 'success'); }
     else showToast(data.error || 'Failed', 'error');
   })
   .catch(function(err) { hideLoading(); showToast(err.message, 'error'); });
@@ -476,7 +488,7 @@ function shortenDocument(outputElementId) {
   .then(function(r) { return r.json(); })
   .then(function(data) {
     hideLoading();
-    if (data.success) { doc.textContent = data.shortened; showToast('Shortened!', 'success'); }
+    if (data.success) { setOutputText(doc, data.shortened); showToast('Shortened!', 'success'); }
     else showToast(data.error || 'Failed', 'error');
   })
   .catch(function(err) { hideLoading(); showToast(err.message, 'error'); });
diff --git a/public/js/chartReview.js b/public/js/chartReview.js
index 21b0f8d..bbaab75 100644
--- a/public/js/chartReview.js
+++ b/public/js/chartReview.js
@@ -141,7 +141,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        reviewText.textContent = data.review;
+        setOutputText(reviewText, data.review);
         modelTag.textContent = (data.model || '').split('/').pop();
         outputCard.classList.remove('hidden');
         outputCard.scrollIntoView({ behavior: 'smooth' });
diff --git a/public/js/hospitalCourse.js b/public/js/hospitalCourse.js
index 1eaf8ec..5e8bee9 100644
--- a/public/js/hospitalCourse.js
+++ b/public/js/hospitalCourse.js
@@ -152,7 +152,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        courseText.textContent = data.hospitalCourse;
+        setOutputText(courseText, data.hospitalCourse);
         formatTag.textContent = data.format || '';
         modelTag.textContent = (data.model || '').split('/').pop();
         outputCard.classList.remove('hidden');
@@ -183,7 +183,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        clarifyOutput.textContent = data.questions;
+        setOutputText(clarifyOutput, data.questions);
         clarifyOutput.classList.remove('hidden');
         showToast('Review missing information below', 'info');
       }
diff --git a/public/js/liveEncounter.js b/public/js/liveEncounter.js
index ce0a1bc..1d21875 100644
--- a/public/js/liveEncounter.js
+++ b/public/js/liveEncounter.js
@@ -125,7 +125,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        hpiText.textContent = data.hpi;
+        setOutputText(hpiText, data.hpi);
         modelTag.textContent = (data.model || '').split('/').pop();
         outputCard.classList.remove('hidden');
         outputCard.scrollIntoView({ behavior: 'smooth' });
diff --git a/public/js/milestones.js b/public/js/milestones.js
index 7ba5f50..274c8ae 100644
--- a/public/js/milestones.js
+++ b/public/js/milestones.js
@@ -130,7 +130,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        narrativeText.textContent = data.narrative;
+        setOutputText(narrativeText, data.narrative);
         modelTag.textContent = (data.model || '').split('/').pop();
         if (data.summary) {
           summaryBar.innerHTML = '<div class="stat"><span class="dot dot-green"></span> Achieved: ' + data.summary.achieved + '</div>' +
@@ -172,7 +172,7 @@
       btn.disabled = false;
       btn.innerHTML = '<i class="fas fa-compress"></i> Regenerate Summary';
       if (data.success) {
-        document.getElementById('ms-summary-text').textContent = data.summary;
+        setOutputText('ms-summary-text', data.summary);
         document.getElementById('ms-quick-summary').classList.remove('hidden');
         showToast('Summary generated!', 'success');
       }
diff --git a/public/js/shadess.js b/public/js/shadess.js
index 5cc9c97..0b4a47b 100644
--- a/public/js/shadess.js
+++ b/public/js/shadess.js
@@ -366,7 +366,7 @@
         var out = document.getElementById('shadess-result-text');
         var outCard = document.getElementById('shadess-output');
         var tag = document.getElementById('shadess-model-tag');
-        if (out) out.textContent = data.assessment;
+        if (out) setOutputText(out, data.assessment);
         if (tag) tag.textContent = (data.model || '').split('/').pop();
         if (outCard) { outCard.classList.remove('hidden'); outCard.scrollIntoView({ behavior: 'smooth' }); }
         showToast('SSHADESS assessment generated', 'success');
@@ -861,7 +861,7 @@
         var noteEl = document.getElementById('wv-note-text');
         var outCard = document.getElementById('wv-note-output');
         var tag = document.getElementById('wv-note-model-tag');
-        if (noteEl) noteEl.textContent = data.note;
+        if (noteEl) setOutputText(noteEl, data.note);
         if (tag) tag.textContent = (data.model || '').split('/').pop();
         if (outCard) { outCard.classList.remove('hidden'); outCard.scrollIntoView({ behavior: 'smooth' }); }
         showToast('Well visit note generated!', 'success');
diff --git a/public/js/sickVisit.js b/public/js/sickVisit.js
index f4c6aa4..a046f82 100644
--- a/public/js/sickVisit.js
+++ b/public/js/sickVisit.js
@@ -322,7 +322,7 @@
         var noteEl  = document.getElementById('sick-note-text');
         var outCard = document.getElementById('sick-note-output');
         var tag     = document.getElementById('sick-note-model-tag');
-        if (noteEl)  noteEl.textContent = data.note;
+        if (noteEl)  setOutputText(noteEl, data.note);
         if (tag)     tag.textContent    = (data.model || '').split('/').pop();
         if (outCard) { outCard.classList.remove('hidden'); outCard.scrollIntoView({ behavior: 'smooth' }); }
         showToast('Sick visit note generated!', 'success');
diff --git a/public/js/soap.js b/public/js/soap.js
index 4de26f7..bdd3b4b 100644
--- a/public/js/soap.js
+++ b/public/js/soap.js
@@ -82,7 +82,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        soapText.textContent = data.soap;
+        setOutputText(soapText, data.soap);
         modelTag.textContent = (data.model || '').split('/').pop();
         outputCard.classList.remove('hidden');
         outputCard.scrollIntoView({ behavior: 'smooth' });
diff --git a/public/js/voiceDictation.js b/public/js/voiceDictation.js
index f0f4616..124ae05 100644
--- a/public/js/voiceDictation.js
+++ b/public/js/voiceDictation.js
@@ -137,7 +137,7 @@
     .then(function(data) {
       hideLoading();
       if (data.success) {
-        hpiText.textContent = data.hpi || data.soap;
+        setOutputText(hpiText, data.hpi || data.soap);
         modelTag.textContent = (data.model || '').split('/').pop();
         outputCard.classList.remove('hidden');
         outputCard.scrollIntoView({ behavior: 'smooth' });