1000-lb Sisters Episode Rating Graph

Amanda and Misty get big news and take a major step in their health journey; Amy and Tammy blow off some steam; Amy gets some devastating news from her lawyer that sends her reeling.

Amy is ashamed of her behavior in Florida and wants to make amends, but she worries Amanda won't accept her apology; when Tammy gets some devastating news, her whole world is turned upside down, and her family rallies behind her in support.

The family preps for their very first beach vacation, and Tammy hits some major milestones. While everyone flies, Amy opts for a nine-hour car ride which leaves her and the boys cranky. Then, Chris gives Amy some tough love.

Tammy hosts a housewarming party and has a few choice words for her mom; Amy's world is turned upside down when she finally confronts Michael over his lack of help with raising their two boys; meanwhile, Caleb hasn't been honest with Tammy.

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

As Tammy heads home after 14 months in rehab, she's forced to make the most difficult decision of her life. Fed up with not having help, Amy feels her marriage is starting to unravel. Amanda and Misty reveal they're getting bariatric surgery.

Amy faces Michael in court at their first divorce hearing. Chris finds an unusual way to get healthy food. Tammy explores the possibility of having kids. Later, Tammy heads to rehab for a recon mission after learning some information about Caleb.

Amy decides to have a real wedding ceremony because if she gets approved for surgery, she's afraid she may not survive; after the wedding, the sisters head to Atlanta hoping for a life-changing final weigh-in.

Amanda reels after leaving dinner; Chris crosses something off his bucket list; Tammy tries to have fun but misses Caleb; fed up with her siblings critiquing her, Amy reaches her boiling point and explodes.

Amy is upset that Tammy's new nurse isn't pushing her enough; Tammy has started slacking, and the family worries about what could be the cause; Chris and Tammy clash when he confronts her about the new man in her life.

Tammy's boyfriend, Jerry, comes to visit just in time to celebrate the sisters' favourite holiday: Halloween. Tammy's sister Misty questions Jerry's intentions. Amy has to face another weigh-in after her concerning appointment with Dr. Procter.

Amy sees a paediatric dietitian and faces some difficult truths about Gage's diet. Dr. Smith makes a house call and confronts Tammy about her partying lifestyle. While on the road with Chris, Tammy's health hits a dangerous low point.

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.

While Amy reaps the benefits of weight-loss surgery, her sister Tammy worries that she gained weight during quarantine; a visit to urgent care gives Amy life-changing news; Tammy's family confronts her over her health

Chris comes down on Amy for enabling Tammy.

The Slaton's are larger-than-life sisters who have always relied on each other and food for support. Amy, age 31, is desperate to have children, but hasn't been able to due to her weight. While Tammy, age 32, is one step away from being bedridden.

Chris faces the ultimate weigh-in to get approved for bariatric surgery. With Tammy's weight at a standstill, Amy and Michael make a life-altering decision. The family's fears about Tammy's choice in partners are realized.

Tammy must see a new therapist, but things don't go the way she'd hoped; Amy wants to lose her excess skin, but she gets bad news at the plastic surgeon's office; Chris faces the scale; if he's below 400 pounds, his surgery is on.

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.

Amy gets unsettling news about the birth of her baby as her high-risk pregnancy has last-minute complications; with their next weigh-in ahead of them, Chris and Tammy are cautiously optimistic until Tammy steps on the scale.

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.

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.

Amy and Michael finally move out of the duplex, while Tammy's partying phase takes a turn for the worse. Amanda tries to get through to her sister before it's too late, and Amy's in for a rude awakening at her annual check up with Dr. Procter.

Tammy struggles to get back on the weight-loss wagon in order get approved for surgery, but this time, her brother, Chris, joins her on the journey. Amy must deal with one very big life-altering repercussion of having had her surgery

Amy undergoes gastric bypass surgery to change her life, but endangers herself by not sticking to the post-op diet. Tammy seeks support from her love interest, Jerry. Two months later, the sisters reveal the changes they've made.

Amy counts down the days until her delivery with an eccentric photo shoot, while the family worries that Jerry is derailing Tammy's diet. Tammy reveals her big secret to Jerry.

Amy and Tammy eagerly begin their weight loss journey. Sticking to their diets is a matter of life and death but proves to be a real struggle. The pressure to reach their goals culminates in a huge fight that threatens their diets and relationship.

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.