S4E1 - The Sweet and Sour Life
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.
Jan. 17, 2023, midnight
S4E2 - Can't Have Your Cake and Eat It Too
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.
Jan. 24, 2023, midnight
S4E3 - I Don't Want to Taco Bout It
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.
Jan. 31, 2023, midnight
S4E4 - Icing on the Cake
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.
Feb. 7, 2023, midnight
S4E5 - Greatest Thing Since Sliced Bread
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.
Feb. 14, 2023, midnight
S4E6 - A Lot of Cooks in the Kitchen
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.
Feb. 21, 2023, midnight
S4E7 - Proof Is in the Pudding
After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected.
Feb. 28, 2023, midnight
S4E8 - Forbidden Fruit
Tammy wants to come home, but a setback causes a major blowup between her and the family.
March 7, 2023, midnight
S4E9 - Walkin' on Eggshells
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.
March 14, 2023, midnight
S4E10 - Apple of My Eye
None
March 21, 2023, midnight