4x1 - The Sweet and Sour Life

January 17, 2023

Having survived yet another brush with death, Tammy recovers at rehab, but a new scare threatens her life; the family adjusts to life without Tammy; Amy's big surprise stuns everyone.

4x2 - Can't Have Your Cake and Eat It Too

January 24, 2023

Tammy's seemingly good progress inspires Amy to visit, reuniting the siblings for the first time in months; Amanda begins a new chapter in her life; Amy learns she's at risk of serious complications if she doesn't get her eating under control.

4x3 - I Don't Want to Taco Bout It

January 31, 2023

Tammy hits a tipping point at rehab, and more bad news from back home sends her into a downward spiral; Chris gets a reality check during a check in with Dr. Smith; the family says goodbye to a beloved family member.

4x4 - Icing on the Cake

February 7, 2023

After finding out Tammy's been robbed, Misty and Amanda visit to break the news in person; while Chris pushes ahead toward his surgery goal, Amy has a setback and is rushed to the ER; with her sisters by her side, Tammy faces the results of her weigh in.

4x5 - Greatest Thing Since Sliced Bread

February 14, 2023

Tammy struggles to cope after surviving a near-death experience; Amy realizes being an overweight mom may prove to be too much; Chris is desperate to get rid of excess skin; Amanda offloads some dead weight of her own.

4x6 - A Lot of Cooks in the Kitchen

February 21, 2023

Amy feels from giving birth and finding out Michael has COVID-19; after 20 years, Chris gets back on the horse; Tammy is almost at the finish line for surgery approval, but worries she won't pass her final assessments.

4x7 - Proof Is in the Pudding

February 28, 2023

After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected.

4x8 - Forbidden Fruit

March 7, 2023

Tammy wants to come home, but a setback causes a major blowup between her and the family.

4x9 - Walkin' on Eggshells

March 14, 2023

Tammy announces her engagement to the family and reveals that her big day is only two weeks away; Amy takes up maid of honor duties; the family wonders if there's another reason Tammy is rushing down the aisle.

4x10 - Apple of My Eye

March 21, 2023