[2] When it is revealed that fertility doctor Leon Bechley (Timothy Hutton) had used his own sperm to conceive at least 100 children throughout his career, Julia Bechley (Brittany Snow) unites with two of her half siblings—including childhood friend Edie Palmer (Megalyn Echikunwoke), and retired Olympic athlete Roxy Doyle (Emily Osment)—as they deal with issues that have been affecting their lives.

[4] The pilot was written by Annie Weisman who was also set to executive produce alongside Jason Katims, Jeni Mulein, Imogen Banks, Sharon Levy, Leslye Headland (also the director).

A day after that, it was announced that the series would premiere in the fall of 2019 and air on Wednesdays at 9:00 P.M.[7] In June 2019, Fox changed the title from Not Just Me to Almost Family.

The website's critical consensus states, "An appealing cast can't make up for Almost Family's appalling premise.

"[27] On Metacritic, it has a weighted average score of 38 out of 100, based on 11 critics, indicating "generally unfavorable reviews".