Ramsay travels to Scottsdale, Ariz., to help the owners of Amy's Baking Company.

In the season finale, Chef Ramsay returns once more to the Big Easy. There, he visits Oceana, where he finds food so bad that he temporarily shuts down the restaurant. With an executive chef and one of the two owners in complete denial and unwilling to take responsibility, he's not even sure if Oceana is worth saving.

Chef Ramsay visits Sushi Ko in Thousand Oaks, Cal., a failing second location of a family-owned eatery. Problems include debt, a breakdown of the family dynamic, and a relative who has lost his passion for cooking.

Chef Ramsay continues his work at the Mill Street Bistro Bar in Ohio, trying to get the obstinate owner to make a major attitude adjustment.

Chef Ramsey heads to St. Clair Shores, Michigan, to visit Jack's Waterfront, which is suffering from a lack of fresh seafood and an inattentive management. Chef's goal is to make this eatery a year-round money maker, but the general manager's excessive socializing with his patrons may put a roadblock in this plan.

Lido Di Manhattan Beach is owned by Lisa, who proudly goes on about her young age and ownership, yet is oblivious to the faults said age and lack of experience have brought. And then Ramsay starts investigating the kitchen...

Chef Gordon Ramsey visits a seafood restaurant in New York where three different owners run the kitchen, leading to a lack of consistency in food and service, and one of the owners is a "know-it-all," challenging each of Ramsey's changes.

Chef Gordon Ramsay takes on Bazzini Cafe, an Italian restaurant in Ridgewood, NJ, that struggles with slow service, poorly crafted dishes, a lackluster sous chef and a disappointing head chef.

Mojito Cuban Cuisine is run by Kata and Marcelo, ex-lovers turned bitter feuders who are ruining the business and in turn, the business ruining them.

Chef Ramsay travels to Providence, Rhode Island to visit DownCity, a downtrodden eatery held back by a stubborn, short-tempered owner.

Philadelphia is known as "The City of Brotherly Love," but one restaurant, the Hot Potato Cafe, is tearing a family apart. Passion, motivation and spirit fueled the restaurant when it was founded two years ago, but all of these mandatory ingredients are now in short supply.

Chef Ramsey visits Stamford, Conn. and Sabatiello's, an Italian restaurant which is owned by a hot-tempered and has poor customer service. His staff has turned against the owner and Ramsey's offer of criticism, that he decides he will shut the place down himself.

Located in the heart of the historic North End of Boston, and run by sister-duo Rita and Lisa, this Italian restaurant has proven to be a financial disaster, spiraling these sisters into a deep state of denial. From their hostile attitudes towards their staff and customers, to the tasteless recipes they serve, Chef Ramsay realizes these owners have lost control. Find out if Ramsay can take on these stubborn sisters.

Chef Ramsey heads to Cranbury, NJ, to visit a French bistro named Hannah & Mason, owned by a pair of friends who lack both business experience and motivation. The staff are holding bounced paychecks, but that isn't as bad as what chef Ramsey finds inside the cooler which causes the place to be shut down on Valentine's Day.

Chef Ramsay visits Fremont, CA, to help out 50-year-old steakhouse and banquet center Spin-A-Yarn. Despite the restaurant's rich history as an old-time hideaway and meeting place, the restaurant's bland menu and outdated decor are long overdue for visual and culinary makeover. Shocked by the restaurant's inconsistent service and disorganized kitchen staff, Chef Ramsay is put to the test to give the steakhouse a refreshed menu and ambience. Find out if Chef Ramsay succeeds in updating the restaurant's image or if it will remain stuck in its old ways.

Gordon Ramsay visits a family-run Italian restaurant in Babylon, NY that's being run into the ground by Peter, the hot-tempered manger and co-owner.

Located in the heart of the historic North End of Boston, and run by sister-duo Rita and Lisa, this Italian restaurant has proven to be a financial disaster, spiraling these sisters into a deep state of denial. From their hostile attitudes towards their staff and customers, to the tasteless recipes they serve, Chef Ramsay realizes these owners have lost control. Find out if Ramsay can take on these stubborn sisters.

Chef Ramsey visits a French-American eatery in La Grange, Illinois, named Cafe 36. The owners have very little experience in running a restaurant and need a hand with their shortage of customers and the head chef, who doesn't practice quality control.

Gordon goes to Moorpark, CA to assist an obstinate French chef in overcoming an empty restaurant with an off-putting decor.

Ramsay travels to The Prohibition Grille in Everett, Wash., to help its inexperienced owner.

Chef Ramsay heads to Mount Sinai, NY, and the Handlebar Restaurant & Lounge, which the owners seem oblivious to the 1880's decor and the head chef's apathy.

Chef Gordon Ramsay takes on the challenge of helping Dean and his wife out by attempting to turn around the Olde Stone Mill restaurant located in Tuckahoe, New York. The restaurant has been renovated in the front of the house, but not in the kitchen when it comes to the horrible food.

Finding little improvement, Chef Ramsay pushes for even more changes to the menu and staff at Burger Kitchen.

The prima donna owner of Anna Vincenzo's rebukes Ramsay and his help and insists what she is doing is fine.

Chef Ramsey heads to West Nyack, N.Y. and the Fiesta Sunrise, a Mexican restaurant, and meets up with a stubborn owner who seems to be ruining his own business. Ramsey gives the place an inspection and shuts the place down, declaring it is unsanitary.

Chef Ramsay visits The Greek at the Harbor, an eatery in Ventura Harbor, Cal., and observes poor service and variable food quality.

Chef Gordan Ramsey visits an Italian restaurant in Great Neck, New York, that is a half-million dollars in debt, but a confrontation over kitchen cleanliness and the food between Ramsey and the owner leaves the future of the eatery uncertain.

PJ's Steakhouse is dying from a lack of control from management to food quality, with one slightly rude owner and her husband, the co-owner, sitting at the bar drinking the business day away.

Chef Ramsay revisits Handlebar (Long Island), Casa Roma (Lancaster) and Black Pearl (New York).

Chef Ramsay heads to Baltimore, MD, and immediately has his hands full when he visits Café Hon, a Southern Comfort eatery in need not only of a restaurant renovation but also a public image makeover. The owner of Café Hon has come under fire from the city of Baltimore for trademarking the word "Hon," a term of endearment for Baltimore culture. Find out if the restaurant revamp and renewed public image will be enough to win back the city of Baltimore and revive its tradition of southern comfort cooking.

Chef Ramsay visits the "City of Brotherly Love" to check in on family-owned Italian restaurant Chiarella's. Although the Philadelphia eatery boasts over 30 years of business, Chef Ramsay is shocked by the restaurant's outdated menu, sloppy service and disorganized staff. Find out if Chef Ramsay is able to infuse the restaurant with classic Italian flair and revive its lackluster dining experience.

Chef Ramsay visits the windy city to check in on Mexican restaurant Zocalo. Although the Chicago restaurant offers a vibrant atmosphere, Chef Ramsay is shocked by the disorganized staff and lack of service.

Chef Ramsay heads to New Orleans, LA, to help transform Zeke's Restaurant. Will he be able to breathe new life and add some spice into this Southern eatery?

Chef Ramsay returns to Classic American, DownCity, and Davide to offer more advice and gauge the restaurants' progress - or lack thereof.

Chef Ramsay returns to Lido di Manhattan, Anna Vincenzo's, and Le Bistro to see if the owners have implemented his changes.

While in Bridgeport, Connecticut, Chef Ramsay pays Cafe Tavolini a visit. Two lackadaisical owners watch as their eatery goes south.

Ramsay goes to Massachusetts to help a married couple improve their restaurant, Barefoot Bob's.

On the Season 4 premiere of Kitchen Nightmares, Chef Ramsay heads to Plainfield, New Jersey. There he hopes to help Shelly Withers transform her soul food restaurant called Blackberry's.

Gordon travels to Nashville, Tenn., to help the owners of Chappy's turn their restaurant around.

Chef Ramsay checks on the status of Cafe Hon, Chiarella's, and Leone's to see if they heeded his advice.

Chef Ramsay pays another visit to the defiant owners of Amy's Baking Company.

A well-liked, retired couple ask Ramsay to help their son, who has taken over their restaurant, Nino's, in Long Beach, Calif.

While visiting the Eagle Rock area of Los Angeles, Chef Ramsay stops by Capri. The Italian restaurant is filthy, serves terrible food, and is in disarray all thanks to a lazy set of twins.

Traveling to Boston's North End, Chef Ramsay spends a week at Davide, an Italian eatery mismanaged by feuding brothers.

Ramsay revisits restaurants Giuseppi and Sante La Brea, from season two, to see if they have succeeded; there is good news and there is bad news. Also included is an update on what happened at Finn McCool's.

The Classic American restaurant is out of food, out of cups, out of menus, and nearly out-of-business with almost a million in debt. Can Ramsay help the two well-meaning servers turned owners?

Gordon travels to the town of Easton, PA, where he tries to wake up a mother and son pairing who are running their Italian restaurant into the ground.

Chef Ramsay heads to the Peach state eatery Michon’s Smoked Meats & Seafood restaurant for a much needed update. Find out if Chef Ramsay’s advice and guidance will be enough to keep this establishment in College Park, GA, open.

Chef Ramsay visits Spanish Pavillion in Harrison, NJ, a family-run business established in 1976 whose owners, brothers Michael and Jerry, have allowed their differences to compromise the quality of the restaurant. With a head chef consistently absent from the kitchen and an unhappy staff, Chef Ramsay is determined to transform the outdated ambiance and menu in order to keep the family business afloat.

Grasshopper Also is a blimey arseways failure best renamed Boghopper. Can Gordon makes sure Irish eyes will be smiling upon a family business dying young?

Chef Ramsay heads to Mama Maria's in Brooklyn. This Italian restaurant and pizzeria was passed down from mother to son more than 25 years ago, but has proven to be more of a burden than a family gem. The owner is exhausted from trying to make ends meet for his family, which in turn has taken a toll on the staff, food and overall performance of the restaurant. Chef Ramsay is disgusted to find 12 freezers filled with rancid and inedible pre-made meals and he reaches his breaking point when one diner needs an ambulance after eating a defrosted piece of seafood. When Chef Ramsay levels with this owner, he leaves him in tears. Find out if Ramsay's push was enough to wake this owner and save his family and restaurant.

Chef Gordon Ramsay wants to see if all of his hard work paid off, when he returns to check up on six of the failing restaurants he helped turn around.

Ramsay tries to help the owners of Kati Allo in Queens, N.Y., turn things around.

Chef Gordon Ramsay visits Seascape, a mother and son run restaurant located in Islip, NY. Ramsay must work together with a hard-headed chef, along with an inexperienced owner, to make some much needed changes to bring the customers back and to save the mother and son relationship.

Ramsay tries to help a bickering brother and sister whose Beaver, Pa., restaurant Levanti's is failing.

Ramsay takes a trip to The Mixing Bowl, a small restaurant in Bellmore, NY. He looks to turn around this restaurant which has inexperienced staff and special discounts as the restaurants specialty.