Doubling Down with the Derricos - Episode Guide

Karen and Deon Derrico have a knack for conceiving multiples, even quintuplets completely naturally; the stakes are running extra high, however, with their most-recent set of triplets, who seem to be ready for the world well before their due date.

Deon manages the household of 11 children while Karen goes on bed rest in the hospital. When an earthquake shakes up Las Vegas, however, the Derricos' plans to carry the triplets to 32 weeks goes completely awry.

The family experiences life after the birth of the latest set of multiples -- the triplets. While everyone is overjoyed when two babies finally make it home, Karen and Deon struggle to find courage as Awesome Dawsyn's heart surgery date approaches.

The holidays are here, and the family prays for a Christmas miracle -- that Awesome Dawsyn can finally leave the hospital and come home. When the Derricos' wish comes true, however, they face a challenge far greater than they're ready for.

Dawsyn's settled at home, but it's just a matter of time before the final surgery, and tensions are high. Splitting responsibilities has Karen questioning whether she and Dawsyn are getting the support they need. Meanwhile, GG drops a bomb about Darian.

Deon worries he'll fall apart if he attends Dawsyn's surgery. Darian opens up to her parents about the challenges of being the oldest of 14 children. Dawsyn's surgery day arrives, and the family prays for a good outcome.

The Derricos endure the coronavirus pandemic with two high-risk family members in their house: GG and Dawsyn. Despite making every effort to stay safe, Deon and Karen's worst fears are realized when Dawsyn is rushed to the ER in the middle of the night.

Even though COVID-19 has affected Halloween this year, it doesn't stop the Derricos from celebrating with a sizzling '70s dance off! Diez has his oblong head shape examined by a doctor, which has Karen and Deon pleading for a non-surgical solution.

GG learns about Diez's likely condition, triggering a devastating reaction. Dallas and Denver get busted for "twinning." Deon suspects Karen might be pregnant, but his excitement is quickly thwarted by an unexpected killjoy.

Karen and Deon endure a range of emotions over the new baby on the way, but unexpected news from South Carolina rocks Karen's world. Meanwhile, GG still has strong feelings about her growing family, and Darian acts on her suspicions to find out the truth.

Karen anxiously prepares for Diez's appointment with specialists in Los Angeles to determine if he needs skull surgery. Meanwhile, Deon jumps the gun on a nanny search, and Karen's second sonogram sets the record straight.

The Derricos celebrate Darian's 15th birthday with a big surprise, but Deon's not ready to learn what gift she actually has her heart set on. Meanwhile, Karen's reluctance to hire a nanny frustrates both Deon and GG.

With Diez's surgery to reconstruct his skull fast approaching, Deon wants Christmas to be extra special this year, but an unexpected expense puts his plans in jeopardy. Meanwhile, the family's grueling nanny search comes to a surprising end.

The Derricos make their way to Los Angeles for Diez's skull surgery, but the trip gets off to a rocky start when the family's rental property isn't what they expected. Then, a last-minute change to the hospital's COVID protocols leaves Deon in disbelief.

While Diez is in surgery to repair his elongated skull, Deon and Karen lean on each other and their family for support. Deonee enlists the help of her siblings and GG to surprise Diez with a musical get-well gift.

Diez faces his first doctor appointment following cranial surgery, and Karen and Deon are anxious to get answers about the odd changes they see in him. Meanwhile, Deon fails miserably at keeping cool when Darian goes on her first "hangout" with a boy.

Diez has his post-op exam to determine how he is healing. With much to celebrate, the Derrico kids are thrilled to take their first trip to the snow, but trouble brews in Utah when Deon shoots down a monumental wish Karen has for the family's future.

Karen is chomping at the bit now that Deon's agreed to go to therapy to determine whether he really has OCD, but Deon faces a much greater fear after a devastating incident forces him and Karen to rethink their priorities.

From going vegan for GG to hitting the roller rink so Deon can relive his glory days, it's all about family fun for the Derricos; with a potential move looming, everyone is not on board; a health crisis may bring everything crashing down.

GG is in the hospital, and the family worries over her health as the kids band together to show her their love; Karen holds in a secret that may cause issues with the family.

The Derricos head south to Karen's hometown for a monthlong trip; Karen struggles to keep a secret from her mom while reconnecting with her past; Deon and GG look to put their differences behind them, and Karen pressures Deon to move.

It's a family affair when the Derricos make a pitch to the city council for approval to build their business. Karen and Deon plan a joint birthday bash. Karen drops a bomb about their future in South Carolina.

As their trip comes to an end, the Derricos celebrate Halloween in South Carolina. Karen stresses about her upcoming sonogram. Deon and Karen must break the news to GG and the kids about a potential move.

The family returns home to Las Vegas as Karen braces for her first sonogram appointment. Deon wants the kids to train the new puppy, but with a twist. Derrick tries to convince his parents to let him go on a date.

Deon and the kids tackle potty training the triplets. Darian attempts to get her learner's permit as her dad wrestles with the idea that she is growing up. Karen confronts her past as she struggles to heal from heartbreak.

The Derricos head to Disney World for a family getaway. Deon's need to stick to a schedule clashes with the family's desire for some carefree fun. As Karen continues to heal, Deon plans the ultimate surprise to show her all his love and support.

With growing concerns about Diez's head, Karen takes him and Dior to LA for a checkup. Deon has his hands full running daddy day care as he attempts to homeschool and renovate the backyard while Karen is gone. GG reveals she's having health issues.

Darian has big plans for her Sweet 16, but it may be too much for her parents to handle. Deon must make a difficult decision when Derrick shows a passion for boxing. Karen and Deon receive some devastating news that will shape the family's future.

The Derrico six want to take their singing ambitions to the next level. Darian's fear of failure threatens to overwhelm her when she tries once again to get her driver's permit. Deon and GG are at odds over how to treat her cancer.

GG begins her chemotherapy treatment with Deon by her side, and Darian receives a surprise; the Derrico 6 record a love song for GG, and a Valentine's Day party in her honor helps.

Deon's OCD flares up as Karen's new passion adds clutter to their already cramped house; the children rebel when the Derricos introduce screen-free summer to get them to be more active; GG explores the world of online dating

An unexpected crisis turns the Derricos' household upside down; the twins learn the value of hard work when they start their own business; Deon gets a phone call that could change his and GG's lives forever.

As Karen stresses over her upcoming business launch, Darian struggles with her own issues over her skin condition; Deon attempts to teach the five little ones to ride bikes at one time; GG and Deon learn the results of the DNA test.

With a Detroit trip on the horizon, Deon feels determined to lose some weight; GG goes on her long-awaited date; when Dawsyn gets an evaluation, the Derricos are faced with a difficult decision; GG learns the latest CAT scan results.

The Derricos take a trip down memory lane when they visit Deon's hometown of Detroit. GG braces for her upcoming chemo treatments. The Derricos excitedly prepare for their emotional reunion with the newest member of their family.

The Quints are at odds over what to do for their birthday; GG faces her first traditional chemo session, but when disaster hits her home, she moves in with the Derricos; Karen struggles to keep it together.

To Deon's delight, Darian gets her first job at a doughnut shop, but she soon finds herself in over her head; the Derricos hold a car wash fundraiser for the family of Dawsyn's heart donor; GG's battle with chemo threatens to overwhelm her.

OCD flare-ups are in the forecast when Deon attempts to teach the quints the importance of chores; the family is determined to show Eric love on his birthday; Deon and Karen face frustration as they ramp up the search for their dream house.

The Derricos must brave the wild when they reluctantly embark on a camping trip. Deon convinces Karen that it's time for the children to learn about the birds and the bees. An unexpected call gives Deon hope for a potential new home for his family.

The Derricos deal with multiple issues as they prep for Thanksgiving; GG anxiously awaits her final scan results to find out if the tumour is gone; Darian steps out of her comfort zone when she takes dance lessons with an old friend.

Getting caught up for the new season; reliving all the fun and drama of Season 3 with the Derricos.