What's it like to live downstairs from a hoarder? Lalie and her children suffer the effects of mold, mice and flea infestations because their upstairs neighbor and landlord, Denise, has secretly acquired a massive hoard.

Terry and Bill seem to be the perfect couple,but their dark secret has put their relationship in jeopardy. The tragic murder of her daughter drove Nancy to hoarding. Now, if she can't clear her home, she may just lose her husband as well.

The giant, toppling piles of clutter are more dangerous to Jessica, who a little person, who in tandem with her mother Dale, has filled her entire home with stuff.

Geoffrey has already lost his home. Now, he has just 30 days to clear the clutter from the home or he will lose everything that remains inside it - including his two children.

John and Joe are a father and son duo who both hoard. John faces jail time for his compulsions, while Joe could lose his newborn son to child protective services if they don't clean up their mess.

Extreme hoarder Mike is about to undergo surgery that could save his life. But the biohazards inside his filthy home puts his recovery at serious risk. If he doesn't clean out his house now, he will die in his hoard.

Ken's entire world revolves around his girlfriend. But as years of hoarding have taken its toll on their relationship, she's giving him one last chance to clear out. And Lea is at risk of losing her children if she can't clean her clutter.

It's the most extreme roach infestation ever seen on Hoarding: Buried Alive - and if Seymour can't conquer it and clear out the hoard in his house, the city will condemn the home and leave him homeless.

If Doug doesn't get a handle on his extreme compulsion to collect things within the month, he stands to lose not one, but two house he's filled with clutter.