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In the Season 6 premiere, the original Staten Island crew is finally at peace after sending the ladies from Philly packing. Later, a new woman shows up and forces the group to face some difficult decisions.

Drita is forced to defend herself after hearing the allegations from the Mermaid Parade. Later, Karen and Storm face difficult decisions; and Renee's friend shakes things up on a girls' weekend.

Karen attempts to end the feud between Brittany, Carla and Renee. Later, Big Ang waits to learn if her cancer has spread; and Drita hears a rumor that could destroy her relationship with Karen.

Karen tries step out of the drama and back into her relationship with her daughter. Renee performs in her final ballroom dancing class. Drita continues to steam after hearing Karen's verbal attack and calls for a final sitdown with Karen and Marissa. Ang reveals some disturbing news about her health.

Never-before-seen footage will be shown to the women as they get ready for a final sitdown. Drita and Karen come together to settle old scores and Ang makes a heartfelt appearance in the midst of her intensive cancer treatment.