The BEST episodes of 1000-lb Sisters season 4

Every episode of 1000-lb Sisters season 4, ranked from best to worst by thousands of votes from fans of the show. The best episodes of 1000-lb Sisters season 4!

The Slatons 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.

Last Updated: 12/17/2024Network: TLCStatus: Continuing

7.96

25 votes

#1 - Forbidden Fruit

Season 4 - Episode 8 - Aired 3/7/2023

Tammy wants to come home, but a setback causes a major blowup between her and the family; when a new man enters Tammy's life, all bets are off; Amy feels the stress of motherhood; Amanda contemplates a new chapter.

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7.86

28 votes

#2 - Apple of My Eye

Season 4 - Episode 10 - Aired 3/21/2023

Tammy's big day has arrived, but Amy struggles on multiple planes, and the groom's intentions are being questioned.

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7.61

23 votes

#3 - Greatest Thing Since Sliced Bread

Season 4 - Episode 5 - Aired 2/14/2023

After doing the unthinkable, Tammy tells Dr. Smith that she met her weight goal and, later, 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.

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7.48

25 votes

#4 - Icing on the Cake

Season 4 - Episode 4 - Aired 2/7/2023

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.

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7.38

26 votes

#5 - Walkin' on Eggshells

Season 4 - Episode 9 - Aired 3/14/2023

Amy will be the Maid of Honor in Tammy's shortly upcoming wedding, but the family wonders if there's a reason behind the short deadlines.

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7.36

25 votes

#6 - Can't Have Your Cake and Eat it Too

Season 4 - Episode 2 - Aired 1/24/2023

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.

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7.36

25 votes

#7 - Proof Is in the Pudding

Season 4 - Episode 7 - Aired 2/28/2023

After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected; Amy meets with Dr. Procter and gets an ambitious weight loss goal.

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7.24

29 votes

#8 - A Lot of Cooks in the Kitchen

Season 4 - Episode 6 - Aired 2/21/2023

Amy reels from giving birth and finding out Michael has COVID-19. After 20 years, Chris gets back on the horse -- both figuratively and literally. Tammy is almost at the finish line for surgery approval but worries she won't pass her final assessments.

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7.23

31 votes

#9 - The Sweet and Sour Life

Season 4 - Episode 1 - Aired 1/17/2023

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, and Amy's big surprise stuns everyone.

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7.08

24 votes

#10 - I Don't Want to Taco Bout It

Season 4 - Episode 3 - Aired 1/31/2023

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

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