Any progress made during Revival Weekend in Savannah comes to a screeching halt after Mariah's meltdown on the bus. Dr. Jackie reaches her breaking point when she realizes that there are some problems she just can't fix. Contessa ponders Jackie's advice to pursue couples' counseling for herself and Scott. Mariah brings the receipts and the drug test results to prove Quad wrong, but do the rest of the ladies even want to know the truth?

While Heavenly tries to keep Alaura close to home, Simone goes apartment shopping with her boys. Toya takes the ladies on a trip to Sonoma, California, but when Quad shows up, the ladies unite together to finally hold her accountable.

Still upset by Anila and Kiran’s Halloween costumes, Eugene confronts Kiran. Jackie and Simone plan a trip to Las Vegas in an attempt to bring the ladies together. Ms. Gomez’s absence forces Anila to resort to drastic measures. Contessa worries preparing for her bikini fitness competition could prove challenging in Vegas. The ladies look to let loose in Vegas and a game of Never Have I Ever sets the stage for some shocking revelations and a raucously good time.

Dr. Heavenly and Dr. Jackie interrogate Phaedra's motives for inviting Quad to Sweet Tea's party. Dr. Simone and Cecil disagree on how to push Miles when it comes to his education. Dr. G and Sweet Tea are ready to say their "I do's," but after some truths are revealed, will everyone be invited to their special day?

Simone and Cecil ask for advice about their book from an old friend. Dr. Jackie gives a patient very important advice. Anila says her final goodbye to Ms. Gomez and wonders what is next for her. Contessa and Toya decide that enough is enough with Heavenly and stage an intervention on her shady ways. When things don’t go as planned, friendships are pushed to the limit.

The ladies of medicine are back! Dr. Jackie and Dr. Simone share quality time together. Toya reveals a surprising life change. Quad finds a new man in her life. Dr. Contessa puts her body to work. Dr. Heavenly tries to figure out where she went wrong with Contessa, who hasn’t spoken to her in months. Anila throws a housewarming party to show off her new $3 million dream home. Will her party derail when Heavenly and Contessa come face to face for the first time?

Thinking she's having a fun girls' night out with Dr. Heavenly, Sweet Tea ends up spilling the tea about her relationship issues with Dr. G. Dr. Simone drops a truth bomb on her sons on a family night out. With the upcoming wedding, the fellas take Dr. G out for the bachelor party of a lifetime while the ladies give Sweet Tea an over-the-top bachelorette party that ends with an unexpected visitor.

The women continue their Vegas trip with a decadent dinner full of vintage wines, juicy conversation and some eye candy for dessert. Back in Atlanta, the men go boxing and old tensions between Kiran and Eugene resurface. A final brunch in Sin City turns into a second intervention attempt with Heavenly.

The ladies receive a mysterious invitation from Phaedra. Will Dr. Simone come up with a plan to get the empty nest she's been dreaming of? Sweet Tea reveals an ongoing personal issue to Toya and Dr. Simone. A strange night in Phaedra's funeral home brings a familiar face back from the dead.

As the fun continues in Vegas, the ladies play a game where Toya reveals a secret she hopes doesn’t make it back to the ATL. Audra calls out Toya for questioning her skills as an attorney. The Vegas girls’ bonding trip is turned on its head yet again when the brewing dispute between Contessa and Heavenly rears its ugly head. Toya faces her greatest fears head on.

Simone and Cecil invite a new set of couples over to help with their book, but when Toya let's Audra know her wardrobe isn't enough, it threatens to spoil the dinner; eager to show off her new home, Quad throws a Christmas party for the ladies.

Quad's rumor-filled holiday party ends when instead of decking the halls, Audra tries to deck Toya in the face; Contessa meets with a new kind of coach to prepare for her fitness competition.

Simone and Cecil get some unexpected news on their book from Omarosa; Toya and Eugene take time to celebrate their son's birthday; Jackie does something at work she's never done before.

The trip to Blue Ridge continues; Toya makes strides in her relationship with Audra; Cecil loses a big bet; Anila and Toya come to an understanding, as Anila Passes the blame about rumors to Quad.

Toya and Dr. Eugene give their sons a sex education talk they'll never forget. Dr. Jackie meets with her very pregnant patient, hip-hop legend DaBrat. Phaedra grows suspicious of Sweet Tea's motives for marrying Dr. G. Sweet Tea's wedding planning stress reaches a boiling point. Toya kicks off her new business with a wine tasting night for the ladies, but will they ever accept her as more than just a housewife?

Heavenly admits to Damon that her mother's illness is affecting her, and offers a rare apology; Contessa feels for Heavenly, and agrees to put their differences aside.

Quad shocks Anila when she spills the tea on what the ladies really think about her break-in; Contessa's day of reckoning arrives as she competes at her first fitness competition; Anila finally gets some good news.

Jackie's surprise open marriage discussion has some couples tongues tied, but other lean in; old tensions rise up as Heavenly and Contessa finally say what's on their mind; Toya confronts Quad about the cheating allegations.

After a heart-wrenching night rehashing the breakdown of their friendships with Quad, the ladies make a difficult decision about Quad's future in the group. Jackie gets support from the White House with her campaign against infant mortality. Toya takes her wine business one step further with an important meeting. Kema shocks the guys with his archaic family values.

Dr. Jackie and Dr. Heavenly bond over shopping at their friend Miss Phaedra Parks' store. Phaedra isn't Married to Medicine, but she's dating it. Dr. Simone and Toya catch up and speculate on where Quad has been, but there's a new sheriff in town - Lateasha, best known as Sweet Tea, Dr. G's new fiancée. Sweet Tea hosts a hoedown-themed engagement party for the couples, but will there be some shade goin' down at this party?

The ladies of medicine return, but there has been drama in the ATL since the reunion in New York. Heavenly and Quad mend fences, but will it be as easy with Simone? Tea faces her swimming fears while Phaedra and Dr. G discuss the social media bombshell dropped by Heavenly. Simone and Cecil throw a Freaknik inspired party where an uninvited guest crashes and an old friend makes a surprise appearance.

Toya and Eugene struggle with the big issue of moving into a smaller house. Jackie and Curtis near a code red as their marriage continues to take a backseat to Jackie's career. Mariah and Simone meet to get their friendship back on track, but a surprise revelation gives Mariah pause. Later, Toya treats the ladies to a spa day to get ready for Hawaii, but tempers erupt when Lisa decides she isn't laying down for Toya anymore.

Contessa reveals to Toya the reasons for her fractured friendship with Heavenly. Anila and Kiran receive some life-altering news. Heavenly opens a new business, partnering with the great beyond. Dr. Simone and Cecil start a new adventure together. Quad and Mason navigate their new life together. All the ladies come together for Heavenly’s grand opening for her new beauty supply store. Will everyone play nice or is someone’s weave about to be snatched?

As tensions in Toya and Eugene's marriage continue to grow, Heavenly confides to Jackie about the decline of her mother's health; Anila's parents arrive and immediately cause problems within the home.

Host Andy Cohen reflects on some of the season's biggest moments; Contessa confronts Heavenly before the cameras are even ready; Quad goes to extreme lengths to combat allegations made against her; Heavenly shows a different side of herself.