Season 4
202310 episodes
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.
Episode 3
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.
Episode 4
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.
Episode 5
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.
Episode 6
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.
Episode 7
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.
Episode 8
Forbidden Fruit
March 7, 2023
Tammy wants to come home, but a setback causes a major blowup between her and the family.
Episode 9
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.
