According to Nielsen Media Research, the episode was seen by an estimated 1.93 million household viewers and gained a 0.9 ratings share among adults aged 18–49.
For the episode, William H. Macy received a nomination for Outstanding Lead Actor in a Comedy Series at the 66th Primetime Emmy Awards.
The doctor reveals that he will experience many side effects due to the transplant, and Frank is disappointed to learn that he cannot drink alcohol.
Gail reveals that she was released due to over-crowding, and that the level of severity in her crime compared to the other inmates is the reason why she was chosen to leave.
She also gets Fiona a job as a waitress at the Golden House Restaurant, a diner managed by Charlie Peters (Jeffrey Dean Morgan), who will accompany her to her Narcotics Anonymous meetings.
Carl (Ethan Cutkosky) grows attached to Bonnie (Morgan Lily), but she reiterates she does not want him to fall in love with her.
Fiona returns home and tearfully reunites with Debbie (Emma Kenney) and Carl, who urge her to check up on Ian.
That night, a car pulls up in front of the Gallagher house, and a woman (Dichen Lachman) asks the man if he wants to enter.
[2] In an interview with The Hollywood Reporter, Chatwin revealed that the idea was developed by Wells and spoke of his character's return: "I guess there had been a lot of rallying from Emmy and the cast to bring back my character because [they] felt like something was missing — maybe some heart — that they felt our relationship brought out in the story.
"[3] The producers had Chatwin stay in a hotel during the filming of the finale in order to keep his return a secret from the main cast.
During the live airing of the episode, numerous cast members expressed surprise over the character's return on Twitter, including Emmy Rossum, Steve Howey, Shanola Hampton, Emma Kenney and Emily Bergl.
[4] In an interview with Variety, Rossum expressed delight over Chatwin's return, stating "I was really happy about that because I had really campaigned hard to bring him back.
It's unbelievably cheap, and it's heartbreaking to be left with that moment following a season in which Shameless largely outgrew the puerile instincts that defined its early years.
""[13] William H. Macy submitted the episode to support his nomination for Outstanding Lead Actor in a Comedy Series at the 66th Primetime Emmy Awards.