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.

Last Updated: 6/5/2025Network: TLCStatus: Continuing

6.87

47 votes

#1 - Meet the Slaton Sisters

Season 1 - Episode 1 - Aired 1/1/2020

Discover how the Slaton sisters achieve their weight-loss journey.

6.90

30 votes

#2 - Pushed Too Far

Season 3 - Episode 5 - Aired 12/13/2021

Chris comes down on Amy for enabling Tammy.

Watch Now:Apple TV

6.94

36 votes

#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.

Watch Now:Apple TV

7.00

27 votes

#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.

Watch Now:Apple TV

7.04

25 votes

#5 - 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.

Watch Now:Apple TV

7.17

12 votes

#6 - 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.

Watch Now:Apple TV

7.17

18 votes

#7 - 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.

Watch Now:Apple TV

7.18

28 votes

#8 - 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.

Watch Now:Apple TV

7.19

32 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.

Watch Now:Apple TV

7.22

23 votes

#10 - 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.

7.24

21 votes

#11 - 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.

Watch Now:Apple TV

7.24

29 votes

#12 - 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.

Watch Now:Apple TV

7.27

26 votes

#13 - 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.

Watch Now:Apple TV

7.27

22 votes

#14 - 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.

7.30

33 votes

#15 - 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.

Watch Now:Apple TV

7.31

26 votes

#16 - 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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7.31

32 votes

#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.

Watch Now:Apple TV

7.32

31 votes

#18 - 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.

7.32

34 votes

#19 - 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.

Watch Now:Apple TV

7.33

12 votes

#20 - Keep the Eye on the Tiger

Season 7 - Episode 5 - Aired 5/13/2025

Tammy takes a big step forward in her relationship with Andrea. With Amy’s court date looming, her boyfriend has a life-altering surprise up his sleeve that leaves everyone speechless.

Watch Now:Apple TV

7.36

14 votes

#21 - Turning a New Beef

Season 6 - Episode 7 - Aired 11/26/2024

Tammy and Amy beef over their big night out. Chris and Amy see a genealogist and the results make the family consider taking a trip overseas. The family decides to do a 5k but tempers quickly flare.

Watch Now:Apple TV

7.36

25 votes

#22 - 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.

Watch Now:Apple TV

7.37

35 votes

#23 - 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.

Watch Now:Apple TV

7.38

26 votes

#24 - 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.

Watch Now:Apple TV

7.39

31 votes

#25 - 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.

Watch Now:Apple TV