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Tyler Perry’s Sistas season 9 episode 1 has been released on July 17, 2025. The premiere episode picks up directly from the intense March season finale. Whether Karen's long-awaited delivery goes smoothly and if the babies will survive, fans were eager to know.
The episode takes an unexpected twist. Starting from a pregnancy complication, high-stakes drama awaits that affects the close-knit group of women.
Disclaimer: The following article contains spoilers from Tyler Perry’s Sistas season 9 premiere. Reader’s discretion is required.
Tyler Perry’s Sistas season 9 episode 1, titled Do No Harm, focuses on the life-threatening complications Karen faces while in labor. She is rushed to the hospital with Fatima by her side. Things take an unexpected turn due to the hospital’s overwhelmed staff and a citywide blackout.
The ending of Tyler Perry’s Sistas season 9 premiere leaves viewers with a sense of urgency, as Karen’s condition deteriorates. The tight-knit bond of the Sistas will face its most intense test yet.
The incident at the Hospital in Tyler Perry’s Sistas season 9 premiere ending
A still from Tyler Perry’s Sistas season 9 (Image via Bet)Tyler Perry’s Sistas season 9 episode 1 begins with a gunshot and quickly cuts back to the present. Andy and Zach are still trying to navigate the aftereffects of Hudson’s shooting. The mystery surrounding the gunshot unravels as the police come to question Zach and Andy.
The shocking revelation: Gary, not Hudson, was the one who shot Hudson, as Gary tried to intervene during the scuffle. While this is happening, Fatima is rushing Karen to the hospital as she starts experiencing painful labor symptoms.
However, upon arrival, Karen’s condition is met with indifference by a rude nurse. Despite her insistence that something’s wrong, no immediate action is taken. The hospital is swamped due to the city’s blackout, and Fatima’s desperate calls for help go unanswered.
As Karen’s pain worsens, the complications with her pregnancy increase. Fatima’s concern grows as the situation becomes dire, and eventually, Karen’s life, along with her unborn children, is left in danger.
Also Read: What role does Donovan Christie Jr. play in Tyler Perry’s Divorced Sistas? Character explored
The unfolding drama at the hospital
A still from Tyler Perry’s Sistas season 9 (Image via Bet)When Fatima gets to the hospital, she is met right away by a nurse who refuses to take Karen's situation seriously. Even though Karen and Fatima are upset and insist that something is wrong, the nurse tells them there's nothing they can do because the rooms are already overcrowded.
Fatima won't give up. She keeps fighting for her friend's health and insisting that Karen's condition needs immediate attention.
The nurse reluctantly arranges for Karen to be placed on a fetal monitor. Still, Karen’s condition does not improve. Her intense fever and growing signs of distress led Fatima to push the hospital staff further.
Karen’s medical emergency and Fatima’s struggles
A still from Tyler Perry’s Sistas season 9 (Image via Bet)As Karen continues to experience severe pain and fever, it becomes evident that the situation is far more complicated than a standard labor. Fatima’s attempts to get the nurse to act more swiftly are met with resistance, but she doesn’t give up.
She continues to pressure the staff to do more for Karen, despite the nurse’s nonchalant attitude toward her concerns. Fatima even makes desperate phone calls, hoping to reach Zach and the others, but the citywide blackout leaves her with no reception.
While Karen continues to vocalize her fear that something is wrong, the medical staff dismisses her symptoms, attributing them to the natural course of labor.
This disregard for Karen’s condition creates a tense atmosphere, and Fatima's determination grows stronger. She will not let Karen suffer in silence.
Zach and Andy’s tension amidst chaos
A still from Tyler Perry’s Sistas season 9 (Image via Bet)At the same time, Zach and Andy are dealing with the effects of the shooting with Hudson. Zach is upset, but he tries to reassure Andy that everything will be alright.
When Andy states that she's scared for her life after being so close to dying, the subject of their uncertain futures comes up in the conversation. Being open and honest with each other brings them closer, even though they are both dealing with fears and problems that they haven't solved.
Even though he feels upset, Zach stays strong and tries to comfort Karen while also paying attention to what's going on with Karen. Zach worries even more when Fatima's call for help doesn't go through.
He can’t shake the feeling that something is wrong, not only with Karen but also with his relationship with Fatima. Zach and Andy prepare to go to the hospital, not knowing just how serious the situation is with Karen.
What leaves Sabrina heartbroken?
A still from Tyler Perry’s Sistas season 9 (Image via Bet)Also, Sabrina is going through a tough time in her own life. When she walks into the juice bar, she witnesses Rich in a s*xual act with Penelope, the woman he had said was only there to distract him. His actions hurt Sabrina, especially since they just broke up.
While Rich tries to explain, Sabrina is adamant that he can't get away with what he did. As their feelings for each other rise, the tension between them grows. Sabrina accuses Rich of using Penelope to take his mind off how he feels about her.
Sabrina's trust in Rich is shattered, and she begins to realize that she can no longer be in a relationship where loyalty is questionable.
What happens to Karen’s babies?
A still from Tyler Perry’s Sistas season 9 (Image via Bet)The episode culminates in a heartbreaking moment when Karen is finally placed in a room and examined by a doctor. The results of the examination shock everyone in the room: Karen is carrying twins, but each child has a different father.
With the stakes at an all-time high, the episode leaves viewers wondering whether Karen will survive the complications.
Tyler Perry’s Sistas season 9 episode 2 will air on Wednesday, July 23, 2025.
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Edited by Bharath S
English (US)