Reality Star’s Shocking Diagnosis: What’s Behind Sam Vanderpump’s Sudden Health Crisis at 28?
Who knew reality TV could get this real? One minute you’re watching perfectly coiffed Brits gossip over flat whites on Made in Chelsea, and the next you’re hit with a gut punch: Sam Vanderpump—yes, from the reality-star-studded Vanderpump clan—has revealed he’s battling end-stage liver disease at just 28. It’s the kind of plot twist not even Bravo could script. I couldn’t help but ask myself: Is this the moment when reality TV actually makes us rethink what “real” means? As Sam openly shares his raw health struggles, including surviving a near miss with death earlier this year, the glamorous façade of SW3 seems to fade, replaced by something jarringly human…and heartbreakingly urgent. Get ready, this isn’t your standard stroll down King’s Road—this is a close-up of life’s fragility, spotlighted in high-def. Curious how this story unfolds and why it matters beyond the headlines? LEARN MORE.
Made in Chelsea star Sam Vanderpump has revealed that he is suffering from ‘end-stage liver disease’ at the age of 28.
Vanderpump – who is related to US reality star Lisa Vanderpump, of Vanderpump Rules and Real Housewives of Beverly Hills – has been open about his health struggles in the past few months, revealing that he was left 24 hours from death earlier this year.
In last night’s (27 October) MIC episode, Vanderpump revealed to his costar Ollie Locke that he’d been diagnosed with end-stage liver disease, saying there is ‘no hope of my liver getting better’.
Recalling his conversation with the doctor, he continued: “He said ‘I wouldn’t be having this call with you if I thought you could make it through the next four or five years’.”
He went on to reveal that he’s now heading for an assessment ahead of a potential liver transplant.

He made the devastating admission on last night’s episode (E4)
What is end-stage liver disease?
According to NHS Blood and Transplant, end-stage liver disease (ESLD) occurs when the organ is damaged beyond repair and can no longer function properly, often due to chronic liver disease or acute liver failure.
This is due to cirrhosis, permanent scarring of the liver, which is caused by long-term damage to the organ. Patients experiencing liver failure may also experience kidney failure.
Symptoms of (ESLD) can include: fatigue, jaundice, abdominal pain and swollen legs.
A shocked Locke then asked Vanderpump how he was feeling about the procedure, to which he replied: “The way I look at it is I’m healthy now, hopefully I will remain healthy all the way up until I’ll get a call and go in for surgery and then I wake up and I’ll be healthier.”
The reality star added that he wasn’t sure when the surgery would take place due to the organ waiting list.

The reality star has spoken openly about his health journey (Instagram/@samvanderpump)
Following the episode’s transmission, Vanderpump shared a message from the NHS organ donor Instagram account, urging his followers to ensure they’ve consented to be a donor and informed their next of kin.
This isn’t the first time Vanderpump has spoken candidly about his health concerns.
Earlier this year, he revealed that he was hospitalised last Christmas, after a genetic disease led to him developing sepsis.
“Over Christmas, we went through a bit of an episode together where I got really, really ill,” he told OK!
“I got an infection due to a genetic disease I’ve got, which led to sepsis and it ended up quite bad. I was in hospital and it was a close call; I could have died.”















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