With the Big Three's 40th birthday now here, flashbacks in the immediate lead up to their births continue, with Randall's not as straightforward as it appears; Kevin and Madison make a decision about their future.
Episode rating
Cast of episode
59
18
11
6
3
1
1
- Randall Pearson
- Beth Pearson
- Kevin Pearson
- Jack Pearson
- Rebecca Pearson
- Kate Pearson
- Toby Damon
- Miguel Rivas
- Madison Simmons
- Malik Hodges
- Annie Pearson
- 19 Year Old Kevin
- Déjà Pearson
- 10 Year Old Kate
- 12 Year Old Randall
- 17 Year Old Randall
- 19 Year Old Kate
- 10 Year Old Kevin
- Tess Pearson
- Dr. Leigh
- Stanley Pearson
- Young William
- Laurel
- Joel
- Martin
- Young Jack
- Young Nicky
- Nurse Iris Arbuse
- Bus Driver
- Dr. Nathan Katowski