The WORST episodes of My 600-lb Life

Every episode of My 600-lb Life ever, ranked from worst to best by thousands of votes from fans of the show. The worst episodes of My 600-lb Life!

TLC's My 600-lb Life documents the journeys individuals undertake to escape obesity and regain control of their lives.

Last Updated: 7/8/2026Network: TLCStatus: Continuing
star
5.89
9 votes

#1 - Gary's Journey

Season 13 - Episode 4 - Aired 1/22/2025

Gary doesn't leave the bed. He has his mom and a bevy of caretakers to get him what he needs, but his life is slipping away from him. He is so overweight that just getting to Houston may be out of the question if he can't stop eating.

Melissa M's Story
star
6.00
18 votes

#2 - Melissa M's Story

Season 9 - Episode 5 - Aired 1/27/2021

Melissa has isolated herself at home and lost many friends to avoid feeling the shame of what her food addiction has done to her body. Now, the only way to get her life back is to leave it behind to start a new one with Dr. Now's help in Houston.

Watch Now:Apple TV
Karen's Journey
star
6.17
6 votes

#3 - Karen's Journey

Season 13 - Episode 3 - Aired 1/15/2025

Karen has gotten so out of control with her eating that she's developed a fear of leaving the house and interacting with the world at her size. She needs Dr. Now's help, but can Karen ever qualify for weight loss surgery if she won't leave the house?

Watch Now:Apple TV
star
6.44
9 votes

#4 - Jacky's Journey

Season 13 - Episode 5 - Aired 1/29/2025

At 6'3" and over 700 pounds, Jacky has barely had a chance to live. She has never fit in anywhere and has always felt out of place. Now that her parents have passed, she has a fresh chance to discover the world anew, but first she's got 500 pounds to lose.

Bettie Jo's Story
star
6.45
22 votes

#5 - Bettie Jo's Story

Season 3 - Episode 4 - Aired 2/25/2015

A 24-year-old woman who's approaching 700 pounds is housebound and completely dependent on her husband, who worries that she'll leave him if she loses weight.

Watch Now:Apple TV
Carrie's Story
star
6.46
26 votes

#6 - Carrie's Story

Season 9 - Episode 3 - Aired 1/13/2021

Carrie is on the brink of eating herself to death.

Joe's Story
star
6.56
18 votes

#7 - Joe's Story

Season 3 - Episode 6 - Aired 3/11/2015

A 30-year-old man who weighs 800 pounds is faced with losing his job and his inability to leave home.

Watch Now:Apple TV
Michael's Journey
star
6.58
19 votes

#8 - Michael's Journey

Season 9 - Episode 9 - Aired 2/24/2021

A lifetime of abuse and ridicule has left Michael anxious and afraid to leave the house. Now with the help of his devoted wife he must follow Dr. Now's program to keep from eating himself to death.

Watch Now:Apple TV
Shakyia's Journey
star
6.62
21 votes

#9 - Shakyia's Journey

Season 12 - Episode 6 - Aired 4/10/2024

Shakyia was always chubby, but now she has stopped leaving the house and makes no effort. Her older sister rallies her to Houston to meet Dr. Now and lose weight, but she'll be in for a shock when her mom decides that caring for her is just too much.

Watch Now:Apple TV
Stephanie's Journey
star
6.64
22 votes

#10 - Stephanie's Journey

Season 11 - Episode 6 - Aired 3/8/2023

With her weight spiraling, Stephanie needs her mom's help to care for her three kids. Now, she's at the point where she'll have to lose weight or risk not having the chance to see her kids grow up.

Delana's Journey
star
6.67
12 votes

#11 - Delana's Journey

Season 12 - Episode 3 - Aired 3/20/2024

When a regular trip to the grocery store turns into an emergency for the EMTs, Delana must admit how badly she needs Dr. Now's help to lose weight; hopefully her road to recovery will lead her to reconcile with the daughter she's grown apart from.

William's Journey
star
6.67
18 votes

#12 - William's Journey

Season 12 - Episode 2 - Aired 3/13/2024

William was always mobile and fairly athletic -- that is, until he wasn't; it's been years now since a knee injury derailed his sports career, and he's ballooned up over 600 pounds; now, to lose weight he'll have to face up to how bad it's gotten.

Krystal’s Journey
star
6.67
18 votes

#13 - Krystal’s Journey

Season 9 - Episode 7 - Aired 2/10/2021

Krystal began overeating to shield herself with a protective layer of obesity after suffering years of abuse. Once a means of protection, her pathological eating now threatens to destroy her life if she doesn't get help.

Destinee's Story
star
6.69
16 votes

#14 - Destinee's Story

Season 7 - Episode 10 - Aired 3/6/2019

Born as "Matthew," Destinee never felt like she fit in; now, having come out as a 600-pound transgender woman, she likes her curves, but she will need to say goodbye to them if she wants to be approved to transition completely.

Watch Now:Apple TV
Irene's Journey
star
6.69
13 votes

#15 - Irene's Journey

Season 9 - Episode 11 - Aired 3/10/2021

Irene had to move back in with her son because her weight made it unbearable to live on her own. When Dr. Now can't get through to her, the only thing that might help her break the cycle is a once-in-a-lifetime turn of events.

Pauline's Story
star
6.70
23 votes

#16 - Pauline's Story

Season 3 - Episode 3 - Aired 2/18/2015

Pauline's addiction to food has taken over the life of her son and primary caretaker.

Watch Now:Apple TV
Angela's Story
star
6.77
26 votes

#17 - Angela's Story

Season 7 - Episode 15 - Aired 4/10/2019

When Angela's family is unable to accompany her on her weight-loss journey to Texas she is unsure what to do. At the last minute, she reaches out to an old flame, Eric, who still has love for her and is willing to make the trip.

Watch Now:Apple TV
Coliesa's Story
star
6.77
31 votes

#18 - Coliesa's Story

Season 8 - Episode 12 - Aired 3/18/2020

The four best reasons for Coliesa to live are her daughters, but after a heart attack and losing the love of her life in a car crash, she eats non-stop to escape from reality; unless she can stop that, the next heart attack will be fatal

Kenae's Journey
star
6.79
19 votes

#19 - Kenae's Journey

Season 9 - Episode 6 - Aired 2/3/2021

Kenae's weight gain skyrocketed due to her grief after her mother's death.

Watch Now:Apple TV
LaShanta's Story
star
6.81
32 votes

#20 - LaShanta's Story

Season 7 - Episode 16 - Aired 4/17/2019

A mother of 4, bed-bound for 2 years, Lashanta relies on her kids to keep her cleaned and fed. Her last chance to break the cycle of food addiction that's killing her is to join Dr. Now's program, but it will take a village just to get her out the door.

Watch Now:Apple TV
Holly's Story
star
6.81
16 votes

#21 - Holly's Story

Season 7 - Episode 5 - Aired 1/30/2019

Holly already has one failed weight loss surgery, so to succeed this time, she must do more than change her eating habits, she must address the childhood issues that continue to plague her.

Isaac's Journey
star
6.83
18 votes

#22 - Isaac's Journey

Season 9 - Episode 8 - Aired 2/17/2021

Isaac helped raise his siblings after his mom suffered a debilitating stroke when he was 10. While learning to cook for his family, he began comfort-eating. Now to avoid eating himself to death, Isaac must learn to take care of himself for a change.

Watch Now:Apple TV
Lisa's Journey
star
6.88
17 votes

#23 - Lisa's Journey

Season 10 - Episode 14 - Aired 2/2/2022

Lisa wouldn't have made it this far without the help of her chief enabler, her boyfriend Randy. But Randy falls ill, and Lisa is about to find out if she has the will and determination she needs in order to turn her life around.

Jonathan's Journey
star
6.89
9 votes

#24 - Jonathan's Journey

Season 13 - Episode 1 - Aired 1/1/2025

Jonathan had his dream job, and he ate himself out of it. Once an EMT first responder, now he rarely leaves the room. His wife works full time to pay their bills, and Jonathan must break the cycle of eating if he wants to keep his wife and his life.

Ontreon's Journey
star
6.91
11 votes

#25 - Ontreon's Journey

Season 10 - Episode 11 - Aired 1/12/2022

At 700 pounds, Ontreon has managed to keep going thanks to his faith in God, and he's training to become a minister. But if he can't find a way to believe in himself, he'll never be able to stop eating.