June watches Baby Kaitlyn while Anna is back in school. The family attends wrestling where Sugar Bear worked security and introduce their own wrestling move: the cup-a-fart. When June takes the girls' cell phones away, they retaliate by using butter and cooking oil for a redneck slip n' slide in the kitchen.
For Pumpkin's 13th birthday, after letting her think it would be a boring dinner at home, they go to a restaurant where Pumpkin and Sugar Bear take on the Pigzilla challenge to eat a 4-pound sandwich in 45 minutes for a chance to win $200. Pumpkin is the youngest person and only girl to date to take on the challenge.
June and Pumpkin decide to try and lose weight to fit into their dresses for the commitment ceremony. June tries to inspire all the girls to exercise. Sugar Bear is rushed to the hospital and is diagnosed with pneumonia and pancreatitis. June tries to hold it together and stay positive for the girls without letting on how bad Sugar Bear is.
While June makes daily trips out to the hospital be with Sugar Bear, Chubbs steps in as a mini-Mama and keeps the house in order. The girls plan a bridal shower for June to take her mind off Sugar Bear's hospitalization. Sugar Bear comes home from the hospital but is still recovering.
The DIY Bride is checking things off her to-do list, but June is not accustomed to this much planning and her stress level is getting high. Alana and the girls ask about their first dance and suggest that Sugar Bear and June seek professional help.
Sugar Bear is nervous before the ceremony, especially once he realizes he doesn't have a thing to wear! He brings the girls with him to shop for a tuxedo.Mama June gets a spa day to relax and most importantly, get her chins vacuumed!
June goes shopping for a proper-fitting bra. Then the party starts when both Sugar Bear and June let loose at their Bachelor and Bachelorette parties. One is a quiet affair, while the other takes a lap dance on the wild side!
All the anxiety and stress from the ceremony planning has Mama stuck in the bathroom! The girls have a meeting to go over the to-do list while Sugar Bear and June meet with who they hope will be their Redneck Preacher.
The ceremony is finally here and with all the rain and chaos June is a bundle of stress! On the big day, the girls get beautimous while Sugar Bear gets dressed up in his camo tuxedo. Will the bride make her way down the aisle?