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Several people whose lives are mysteriously intertwined begin to notice peculiar coincidences about each other in the series premiere of this dramedy.

Kate (Chrissy Metz) is furiously working hard to shed her unwanted pounds as she continues to struggle with impatience and discouragement. She receives support from her new boyfriend, Toby (Chris Sullivan), as he helps her let loose and enjoy herself. Beth (Susan Kelechi Watson) begins to question the motives of Randall's (Sterling K. Brown) biological father, William (Ron Cephas Jones), and takes action in getting answers on his activities. Randall has a lot more on his mind with the new life-changing addition of having his biological father in his life. Marriage and raising three 8-year-old children is beginning to take its toll on Rebecca (Mandy Moore) and Jack (Milo Ventimiglia) as they start to feel distant from one another. Kevin (Justin Hartley) faces the aftermath of quitting his job as he deals with his agent, Lanie (Katey Sagal), and has to figure out how to move forward.

Rebecca makes a surprise visit to Randall's home where she encounters his biological father, William. Kevin anxiously decides to take the plunge and move to New York to pursue a Broadway job, with the expectation that his sister, Kate, will move with him. Toby is determined to get Kate out of Kevin's shadow and prepares a special day where she is in the limelight. Jack and Rebecca take home their babies from the hospital and adjust to the new life of parenthood, while coping with the loss of their other child. Rebecca struggles to connect with their adopted child and searches for answers.

Rebecca and Jack take Kevin, Kate, and Randall to the community pool on a hot day and quickly realize each child is going through their own struggles. Kevin auditions for his first Broadway play in New York and meets a determined actress who is less than impressed by him. Toby runs into his ex-wife while at a restaurant with Kate, which sends Kate into a spiral of self-doubt. William is mistakenly reported as a loiterer in Randall's predominately white neighborhood, which exposes deep-rooted issues of race.

Rebecca and Jack get into an argument about starting a family. The family backstory behind the long line of love for the Pittsburg Steelers is revealed. After accepting his part in the play, Kevin realizes his script is relevant to his own life. Randall and Beth encounter an unexpected turn of events.

Kate interviews for a new job that seems just about perfect, although it comes with a catch. Randall doubts his career choice and wonders if he followed the right path. Kevin and Olivia's relationship moves in a new direction. Rebecca and Jack are conflicted on what to do when Randall tests as a gifted child.

The dynamic of Randall and Kevin's rocky relationship is explained. Beth and William spend time together, which unexpectedly brings to light a secret William has been keeping. As Rebecca gets back to work for the first time in years, both she and Jack acknowledge that there is distance between them. Toby is caught straying from his diet regimen, throwing Kate into crisis.

As Jack, Rebecca and the three kids make their way to Rebecca's parents' house for their traditional Thanksgiving holiday, an unforeseen detour occurs. Kate makes two drastic life-changing decisions. Kevin brings Olivia to Randall's house for Thanksgiving. Randall's heart is broken when he learns about a lifelong secret his mother has kept from him.

Kate, Kevin and Randall head to their family's cabin to get away after their chaotic family Thanksgiving. A very angry Randall finds comfort and explanation from his father, Jack. Olivia speaks a harsh truth to Kate, which drives a wedge between Kate and Kevin. Rebecca and Jack struggle with what to do when 9-year-old Randall tells them that he's been looking for his birth parents.

The Pearson family finds themselves at the hospital on Christmas Eve after little Kate comes down with appendicitis. When they run into Dr. K, who is alone at the hospital, they realize they need to be there for him as much as he was once there for them. Presently, Kevin celebrates Hanukkah with Olivia and her family, Kate continues to pursue her big surgery and someone from William's past reappears in his life.

Kate struggles with her feelings in the aftermath of Toby's heart attack. As William begins to spend more time with Jesse, Randall has to get used to his father's new relationship. After receiving the news they're expecting triplets, Jack and Rebecca must find a way to afford a home that can accommodate three babies. Olivia unexpectedly resurfaces, throwing both Kevin and Sloane for a loop.

As the triplets birth approaches, Rebecca forgets Jack's birthday; Dr. K tries to carry on without his wife; The firefighter who delivered Randall to the hospital, fights to save his marriage.

Jack and Rebecca try to throw Kate, Kevin and Randall three separate birthday parties.

Toby throws a wrench in Kate's weight loss journey. Randall struggles to accept his father's deteriorating health. Miguel and Shelly break some devastating news to Jack and Rebecca, which makes them worry about their own relationship. Rebecca receives an amazing work opportunity. Kevin examines his romantic past.

As Kevin stresses about the premiere of his play, he receives support from an unexpected source. Randall struggles under the pressure of both his work and ailing father. Rebecca and Jack's Valentine's Day doesn't go as planned. Toby and Kate decide to dig deep and get to know each other's biggest secrets.

Randall and William take a road trip to Memphis, where Randall learns about his biological father's past.

The entire Pearson family gathers at Randall's for an unusual party. Kevin and Sophie's relationship deepens on the night of his play's premiere. Kate struggles to open up to Toby about her father's death. Tensions are high between Jack and Rebecca as she leaves on tour with her band.

Jack heads to Cleveland to make things right with Rebecca on the night of her first big gig with the band. Randall, Kate and Kevin make big decisions about their futures.