1000-lb Sisters (2020) Season 4

Where to Watch

Region

See all 13 options →

Prices last updated October 15, 2026. Pricing and availability may vary by region.

Season 4 Episodes

10 episodes

The Sweet and Sour Life

Jan 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; Amy's big surprise stuns everyone.

Can't Have Your Cake and Eat It Too

Jan 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.

I Don't Want to Taco Bout It

Jan 31, 2023

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

Icing on the Cake

Feb 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.

Greatest Thing Since Sliced Bread

Feb 14, 2023

Tammy struggles to cope after surviving a near-death experience; Amy realizes being an overweight mom may prove to be too much; Chris is desperate to get rid of excess skin; Amanda offloads some dead weight of her own.

A Lot of Cooks in the Kitchen

Feb 21, 2023

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.

Proof Is in the Pudding

Feb 28, 2023

After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected.

Forbidden Fruit

Mar 7, 2023

Tammy wants to come home, but a setback causes a major blowup between her and the family.

Walkin' on Eggshells

Mar 14, 2023

Tammy announces her engagement to the family and reveals that her big day is only two weeks away; Amy takes up maid of honor duties; the family wonders if there's another reason Tammy is rushing down the aisle.