The WORST episodes of 1000-lb Sisters
Every episode of 1000-lb Sisters ever, ranked from worst to best by thousands of votes from fans of the show. The worst episodes of 1000-lb Sisters!
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.
#1 - Pushed Too Far
Season 3 - Episode 5 - Aired 12/13/2021
Chris comes down on Amy for enabling Tammy.

#2 - Meet the Slaton Sisters
Season 1 - Episode 1 - Aired 1/1/2020
Discover how the Slaton sisters achieve their weight-loss journey.
#3 - The Moment Of Truth
Season 3 - Episode 7 - Aired 12/27/2021
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.
#4 - Man vs Scale
Season 3 - Episode 6 - Aired 12/20/2021
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.
#5 - Do or Die
Season 2 - Episode 10 - Aired 3/8/2021
Recovering from the coronavirus, Tammy now needs constant oxygen, and her weight spirals; Chris faces his final weigh-in; Amy makes a big decision about her future; with Tammy's romance heating up, the family takes matters into its own hands.
#6 - Tippin' the Scales
Season 2 - Episode 2 - Aired 1/11/2021
The Slatons head back to Atlanta to see Dr. Proctor. Amy is worried about dropping the news that she got pregnant so soon after surgery, against doctor's orders. Tammy returns knowing she's gained all the weight back.

#7 - 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.
#8 - Goodbye Freedom
Season 3 - Episode 2 - Aired 11/22/2021
Tammy is back from rehab, and Amy kisses her freedom goodbye as she comes to a decision regarding her sister; with his bariatric surgery on the line, Chris tries to shed the weight he's gained but is shocked when he and Tammy step on the scale.

#9 - I Candy-cane't
Season 6 - Episode 4 - Aired 10/29/2024
With bonus scenes -- A time for cheer is met with jeer as the entire family remains divided during Christmas. Amy celebrates her first Christmas as a single mom and decides to try on heels for the first time ever. Chris confesses the house for Tammy won't be ready in time, which leaves him with only one option.
#10 - A House Divided
Season 1 - Episode 4 - Aired 1/22/2020
After fighting with Tammy, Amy has a much-needed date night with Michael.
#11 - Under the Knife
Season 1 - Episode 6 - Aired 2/5/2020
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.

#12 - 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.
#13 - Moving On Up And Partying On Down
Season 3 - Episode 10 - Aired 1/17/2022
After a rift on the family vacation, Amy returns home and drops a bomb on Tammy. While Amy focuses on her new life, Tammy makes a decision that takes her even further away from her weight-loss goals.
#14 - End Of An Era
Season 3 - Episode 11 - Aired 1/24/2022
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.
#15 - Labor of Love
Season 2 - Episode 9 - Aired 3/1/2021
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.

#16 - Breaking Point
Season 1 - Episode 3 - Aired 1/15/2020
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.
#17 - A Fork in the Road
Season 2 - Episode 4 - Aired 1/25/2021
Tammy must step on the scale again after not sticking to her diet.
#18 - Smoky Mountain Meltdown
Season 3 - Episode 9 - Aired 1/10/2022
The family vacation starts off terribly when Tammy refuses to enter the cabin. Chris hopes he's lost enough weight to fulfill a life-long dream. A last attempt to save the vacation ends in another confrontation. The siblings discover Tammy's secret.
#19 - A Very Slaton Vacation
Season 3 - Episode 8 - Aired 1/3/2022
While Chris makes progress after his surgery, Tammy gets discouraging news. Amy plans a unique bash for Tammy's 35th birthday. The family excitedly plans their first vacation together with all five siblings, but concerns rise about Tammy's mobility.

#20 - The Big Camel in the Room
Season 7 - Episode 4 - Aired 5/6/2025
Amy reels emotionally and physically from her camel bite and arrest. Chris explores a passion project, and Tammy expands her circle and fulfills a childhood dream.

#21 - 1,000 Pounds to Freedom
Season 1 - Episode 2 - Aired 1/8/2020
Amy and Tammy go to Atlanta to meet Dr. Procter to discuss weight loss surgery. When they arrive, Dr. Procter gives Tammy a hefty weight loss goal before he will approve her for surgery, meanwhile the Dietician has more bad news for Amy.

#22 - 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.
#23 - Wake-up Call
Season 2 - Episode 3 - Aired 1/18/2021
Tammy and Amy blame each other for their issues in therapy. When Tammy gets devastating news from Dr. Procter, her brother Chris makes a life-altering decision. A very pregnant Amy can't stop overeating, and the results are disastrous.

#24 - 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.
#25 - Jerry Bites Back
Season 2 - Episode 7 - Aired 2/15/2021
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.