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Season guide

Married to Medicine: Season 4

16 episodes Premiered Nov 6, 2016 Updated Sep 18, 2026
Previously on Married to Medicine

Season 4 Lore Primer

Key plot threads, lore context, and character stakes you need to remember before diving into this season.

  • ⚡ Picks up essential narrative continuity directly following the events of Married to Medicine Season 3.
  • ⚡ Character alliances, factions, and personal loyalties undergo significant shifts under escalating stakes.
  • ⚡ Addresses unresolved cliffhangers and thematic mysteries introduced during previous seasons.
  • ⚡ Establishes the primary seasonal conflict that drives serialized character arcs toward the finale.
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Season 4 Episodes

Episode Guide

🛡️ SPOILER SHIELD

Season 4 Progress Shield

Future titles & synopses blurred. Tap "Reveal" on any card to peek.
Binge Efficiency Engine

Season 4: Filler vs. Essential Canon

Filter episodes by narrative weight. Focus on essential mytharc and skip standalone side quests.

31%
69%
Mytharc (5): Crucial lore & season climaxes
Core (11): Character development & subplots
Side Quest (0): Standalone / filler
S4·E1 Mytharc

New Beginnings

Nov 6, 2016 · 43 min

The Atlanta ladies are back! Quad has a new baby in her house, and Lisa Nicole’s got a baby on her brain. Dr. Jackie is moving on up while Dr. Simone and Cecil are adjusting to lif

S4·E2 Mytharc

Forecast: Clouds with 100% Chance of Shade

Nov 13, 2016 · 43 min

Everyone processes the aftermath from Lisa Nicole’s party. Dr. Simone reaches out to Quad to make sure she understands why she came down on her so hard about having a baby. Genise

S4·E3 Core

Her Father's Daughter

Nov 20, 2016 · 43 min

Mariah’s new beginnings party ends in a new beef between Genise and Heavenly, and the beginning of the end for Toya and Lisa Nicole’s friendship. Simone reaches out to family to fi

S4·E4 Core

The Father, Son, and Heavenly's Spirit

Nov 27, 2016 · 43 min

Simone, Quad, and Jackie head to Nashville to search for Simone’s missing father. Heavenly does some soul-searching with her spiritual guide, Jewel Tankard; while Lisa Nicole and D

S4·E5 Core

The Breast-est of Friends

Dec 11, 2016 · 43 min

Heavenly and Lisa Nicole embark on a new business venture, but their collaboration quickly turns ugly, when Heavenly shares her true feelings about Lisa Nicole’s marriage. Simone i

S4·E6 Core

It's My Prom and I'll Throw Down If I Want To!

Dec 16, 2016 · 43 min

Hot off the heels of the look book photo shoot, the girls still can’t believe Jackie actually kicked them to the curb. Things heat up for Darren when he has to face the music after

S4·E7 Core

Is There Life After Prom?

Dec 23, 2016 · 43 min

After their huge argument at Toya's Prom Party, Mariah and Quad's friendship is on shaky ground. Quad is planning a birthday bash for Dr. G and doesn't want Mariah to bring her dra

S4·E8 Core

Brutally Honest Makeover

Dec 30, 2016 · 43 min

Toya and Eugene struggle with the big issue of moving into a smaller house. Jackie and Curtis near a code red as their marriage continues to take a backseat to Jackie's career. Mar

S4·E9 Core

Hawaii Five Solo

Jan 6, 2017 · 43 min

Dr. Simone and Cecil head off to Hawaii to celebrate their 20th Anniversary with most of the couples in tow. However, Lisa is flying solo as Dr. Darren is missing in action. Dr. Ja

S4·E10 Core

Hawaii Five-Uh Oh

Jan 13, 2017 · 43 min

It’s day two of their Hawaiian adventure! Jackie is still reeling from her solo trip to the Big Island and Dr. Darren is still nowhere to be found leaving Lisa Nicole all alone. Th

S4·E11 Core

Coconut Bras and Brawls

Jan 20, 2017 · 43 min

On their last day in Hawaii, Simone has one more surprise for the ladies, but will the men be on board once they find out what's in store? Quad organizes a make-up photo shoot for

S4·E12 Core

Brazilian Bombshells

Jan 27, 2017 · 43 min

With only a week until their relationship conference, Heavenly and Lisa Nicole must work together to get everything in place. But once Heavenly hears that Lisa hasn't been entirely

S4·E13 Mytharc

The Devil Is Busy

Feb 3, 2017 · 43 min

Toya and Eugene may have downsized their home, but their new CPA now wants them to downsize their budget. Jackie springs a romantic surprise on Curtis, but is it enough to mend the

S4·E14 Core

Breast Friends

Feb 10, 2017 · 43 min

In the season finale, at Toya's housewarming barbecue the ladies continue to fight and when Mariah tries to intervene things turn ugly fast. Heavenly looks to her spiritual advisor

S4·E15 Mytharc

Reunion (1)

Feb 17, 2017 · 43 min

Host Andy Cohen reflects on some of the seasons biggest moments as the ladies of medicine come together in part one of the explosive Married to Medicine Reunion. Toya comes face to

S4·E16 Mytharc

Reunion (2)

Feb 24, 2017 · 43 min

The reunion continues as Andy welcomes the husbands to tell their side of the story. Jackie shocks everyone, dropping a bomb about her relationship with Curtis; Darren confronts th

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