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Kevin stresses about the premiere of his play and receives support from an unexpected source; Randall struggles under the pressure of both his work and ailing father; Rebecca and Jack’s Valentine’s Day doesn’t go as planned; and Toby and Kate learn each other’s secrets.
Toby throws a wrench in Kate’s weight loss journey. Randall struggles to accept his father’s deteriorating health. Miguel and Shelly break some devastating news to Jack and Rebecca, which makes them worry about their own relationship. Rebecca receives an amazing work opportunity. Kevin examines his romantic past.
Jack and Rebecca get in over their heads when they decide to throw Kate, Kevin and Randall three separate parties for their 10th birthday. Randall struggles to make time for William as things intensify at the office. Kevin makes a major decision in his romantic life. Kate’s gastric bypass journey takes an unexpected turn.
As the birth date of her triplets quickly approaches, a frazzled and emotional Rebecca forgets Jack’s birthday. Dr. K struggles with the loss of his wife and wonders how he’ll be able to continue on with his life without her. Joe the firefighter who delivered baby Randall to the hospital – fights to save his marriage.
The Pearson family finds themselves at the hospital on Christmas Eve after little Kate comes down with appendicitis. When they run into Dr. K, who is alone at the hospital, they realize they need to be there for him as much as he was once there for them. Presently, Kevin celebrates Hanukkah with Olivia and her family, Kate continues to pursue her big surgery and someone from William’s past reappears in his life.
Kate, Kevin and Randall head to their family’s cabin to get away after their chaotic family Thanksgiving. A very angry Randall finds comfort and explanation from his father, Jack. Olivia speaks a harsh truth to Kate, which drives a wedge between Kate and Kevin. Rebecca and Jack struggle with what to do when 9-year-old Randall tells them that he’s been looking for his birth parents.
As Jack, Rebecca and the three kids make their way to Rebecca’s parents’ house for their traditional Thanksgiving holiday, an unforeseen detour occurs. Kate makes two drastic life-changing decisions. Kevin brings Olivia to Randall’s house for Thanksgiving. Randall’s heart is broken when he learns about a lifelong secret his mother has kept from him.