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Last Christmas is the tenth episode of the first season and the 10th overall episode of This Is Us.

Short Summary[]

The Pearsons discover Dr. K alone at the hospital on Christmas Eve after Kate's afflicted with appendicitis. In the present, Kevin celebrates Hanukkah with Sloane; Kate pursues her big surgery; and someone from William's past resurfaces.

Full Summary[]

On Christmas, young Kate gets appendicitis. Before surgery, Rebecca gives her a Christmas tree branch as a placebo and tells her Christmas magic will keep her safe. They run into Doctor Katowsky, who is now a patient, and dying. The family decides to keep him company. Randall uses his Christmas money to buy him a snow globe. Kevin is particularly affected by his sister’s struggle, and tries to pray.

Olivia has disappeared completely since her fight with Kevin, which causes the play to be canceled. Sloane asks Kevin to come to her family Hanukkah dinner and pose as her boyfriend. When Kevin sees her tell the story of Hanukkah, and realizes that she should be in the play instead of Olivia, and that he would finance the play himself.

Kate and Rebecca go to a doctor about gastric bypass surgery, where Rebecca realizes how clueless she is about Kate’s weight issues. They both wonder if Rebecca’s parenting was to blame for her obesity.

William goes to Narcotics Anonymous and runs into Jessie, an ex-boyfriend of his whom he abandoned when he got cancer, to spare him the pain. William decides to spend Christmas with Jessie instead of Randall.

Randall and Beth attend an office Christmas party. Beth chides Randall for buying a boat to cope with his anger at his mother. Randall intercepts the co-worker who sold it to him about to jump off a balcony because of a failed marriage. While talking him down, he vents about his own pain, and convinces the both of them that their relationships can be repaired.

Everyone gathers for Christmas at Randall’s, where Toby shows up uninvited. He tells Kate he’s back on his diet and asks her to get back together, and she agrees. Christmas goes well until Toby has a sudden heart attack.

The episode ends on a cliffhanger where Toby in the present and Doctor Katowsky in the past are both in surgery in critical condition.

Cast[]

Main Cast[]

Guest Stars[]

Co-Starring[]

Music[]

Song Performer Scene
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Notes and Trivia[]

  • This episode scored million viewers.

Gallery[]

Episode Stills[]

Quotes[]

See Also[]

A complete overview of this episode's crew can be found here.

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