The season kicks-off with a one-hour special focusing on a Massachusetts family and features live segments culminating in an all-live intervention. Also featured is the story of a second hoarder who faces jail time if he doesn’t pass a final city inspection.

A woman's husband threatens to end their 38-year marriage if she does not clean up their home; a woman faces eviction if she does not address her hoard.

22-year-old Yama keeps shopping and hoarding to preserve the memory of her deceased mother. Michelle's obsession with shopping is putting her home in such a catastrophic condition that she faces losing her little boys to child protective services.

Ruthann promised her cousin that she would turn their historic house into a bed and breakfast when it was sold to her but instead she has destroyed the crown jewel with her cat and antiques hoarding. Ruthann blames the situation on "the other woman" who happens to be her daughter that ran off with her boyfriend and had kids with him.

Two hoarders are living in life threatening conditions. Cynthia has a debilitating auto immune disease and lives in a hoard that could make her illness deadly. Meanwhile, Ricky sleeps in a house packed with paper and other flammables that are one spark away from an inferno.

A man needs to clean up his three-acre hoard whilst a woman hoards to try and get over the death of her son.

A man serves as president of his condo HOA, but he lives in a hoard that would cause any other tenant to be evicted; a woman has been hoarding to deal with the death of her son.

A woman is forced to sleep on the patio because her hoard occupies every room in the house.

A woman's hoarding takes over so much of her home that her partner resorts to sleeping in the garage and her teenage daughter is forced to share a bed with her mom. If she doesn't clean up, her partner threatens to sue for full custody of their daughter.