1000-lb Sisters

Season 4

TV-14

The Slaton sisters, averaging over 1,000 pounds, have always depended on each other for support. Now in their 30s, Amy wants to have children but cannot due to her weight, while her older sister Tammy is almost bedridden.

Where to Watch Season 4

10 Episodes

The Sweet and Sour Life
E1
The Sweet and Sour LifeHaving 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.
Can't Have Your Cake and Eat It Too
E2
Can't Have Your Cake and Eat It TooTammy'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.
I Don't Want to Taco Bout It
E3
I Don't Want to Taco Bout ItTammy 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.
Icing on the Cake
E4
Icing on the CakeAfter 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.
Greatest Thing Since Sliced Bread
E5
Greatest Thing Since Sliced BreadTammy 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.
A Lot of Cooks in the Kitchen
E6
A Lot of Cooks in the KitchenAmy 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.
Proof Is in the Pudding
E7
Proof Is in the PuddingAfter years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected.
Forbidden Fruit
E8
Forbidden FruitTammy wants to come home, but a setback causes a major blowup between her and the family.
Walkin' on Eggshells
E9
Walkin' on EggshellsTammy 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.
Apple of My Eye
E10
Apple of My EyeTammy's big day has arrived, but Amy struggles on multiple planes, and the groom's intentions are being questioned.