You can see her daughters, Alana 'Honey Boo Boo' and Lauren 'Pumpkin' running to the car so they can go to hospital.
"Mama June must fight her biggest battle yet," you hear the voiceover say in the trailer. "Every day is worse and worse and worse and worse," Mama June reveals.
How has it all gone wrong since her major weight loss?!
However the medical emergency isn't the only battle Mama June will have to get through next season. Her ex, Mike 'Sugar Bear' Thompson and his new wife Jennifer also appear, making out for everyone to see in the trailer.
Jennifer confronts Mama June about visitation with Honey Boo Boo. "I will take your a*s to court," Mike tells his ex. "Good luck, honey buns," Mama spits back.
But don't fret for her, she has her own romantic interest this season with a mystery man she kisses in the trailer!
Mama June: From Hot To Not season 2 will premiere January 12.