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.

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.

Tammy hits a tipping point at rehab; more bad news from back home sends her into a downward spiral; Chris gets a reality check from Dr. Smith; the family says goodbye to a beloved family member.

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, Tammy faces the results of her weigh in.

After doing the unthinkable, Tammy tells Dr. Smith that she met her weight goal and gives her family big news; Chris serves up an unusual main course at a family gathering; the family worries when Amy's C-section takes much longer than expected.

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.