The Fifth Wheel is the eleventh episode ofof . It aired on January 9, 2018.
The Pearsons come together for a family session at Kevin's rehab, leaving Beth, Toby and Miguel to have a bonding session of their own; Jack surprises the family with a vacation at the cabin.
- Jon Huertas as Miguel Rivas
- Parker Bates as Kevin Pearson (age 10)
- Mackenzie Hancsicsak as Kate Pearson (age 10)
- Lonnie Chavis as Randall Pearson (age 10)
- Eris Baker as Tess Pearson
- Kate Burton as Barbara
- Sonia Jackson as Female Doctor
- Gary Kraus as Gus