Big Ang has been diagnosed with cancer and is recovering from throat surgery. Renee had her Mob Candy float debut and invites the girls to be on the float. At the debut, old friend Love arrives, and creates a lot of waves between the ladies
The war between Karen and Drita reaches irreparable heights when Brittany relays an explosive rumor. The women work to cheer Ang up as she faces yet another life threatening surgery. Renee takes up a new hobby.
Ang gives Neil an ultimatum after a fight about finances. While tensions between Drita and Carla run high at Ang's birthday party, Karen continues to deal with her father's critics. Marissa voices her strong opinions about Brittany's newfound friendship with Drita.
The feud between Drita and Brittany and Karen and Marissa explodes in a violent table meeting. Big Ang's cancer returns. The wives reminisce about their trials and tribulations in Staten Island as the series comes to a close.
Never-before-seen footage from the show's tumultuous history will be shown to the women for the very first time as they get ready for a final sitdown. Drita and Karen come together one last time to settle old scores, and Ang makes a heartfelt appearance in the midst of her intensive cancer treatment. The women will put everything out on the table and have one final chance to reconcile their differences.