Tragic news from Chelsea’s golden boy. Reality TV star Sam Vanderpump, 28, has revealed he’s been diagnosed with irreversible end-stage liver disease — and without a life-saving organ transplant, doctors warn he may have no more than five years to live.

The Made In Chelsea star — who also happens to be the nephew of Hollywood’s Lisa Vanderpump — made the heartbreaking admission during Monday’s episode of the hit E4 reality show, leaving fans and co-stars in tears.

 “There’s No Hope for My Liver”

Speaking in a quiet, emotional moment with co-star Ollie Locke, Sam revealed:

“There’s no hope of my liver getting better. My doctor told me, ‘I wouldn’t be having this call with you if I thought you could make it through the next four or five years.’”

He continued, trying to stay positive:

“I’m healthy now, and hopefully I’ll stay that way until I get the call for surgery. I just want to wake up and feel healthy again.”

Doctors have confirmed Sam is now being sent for a liver transplant assessment — a process that will determine if he can be placed on the national donor list.

 A Young Life, a Family on the Way

The devastating diagnosis comes as Sam and his fiancée, model Alice Yaxley, are expecting their first child.

Despite the terrifying uncertainty ahead, Sam says he’s trying to stay strong for his growing family:

“There are people higher up on the list who might not survive the surgery, so I don’t know when it will happen. All I can do is keep hope.”

The NHS Organ Donation account shared a touching post following the episode, calling Sam’s bravery “an inspiration,” urging the public to sign up as organ donors.

“Thousands of people are still waiting for a life-saving transplant,” the post read. “Sam’s courage in speaking out could inspire others to make that vital choice.”

 The Illness That Nearly Killed Him

Earlier this year, Sam opened up about a terrifying health scare when he nearly died after his liver and kidneys failed, triggering a case of life-threatening sepsis.

In December, after days of battling what he thought was the flu, Sam was rushed to Chelsea and Westminster Hospital by his quick-thinking fiancée Alice. He was delirious, dehydrated, and in excruciating pain — and within hours, doctors told him the unthinkable.

“I remember the doctor saying, ‘You’re going into liver and kidney failure,’” Sam recalled. “I burst into tears. My mum tried to stay calm, but I could tell she was terrified.”

Doctors described his liver function as “deranged” and “demonic.”

“You can literally feel your organs when they’re failing,” Sam said. “My heart was in overdrive, my pancreas struggling, my spleen in pain — I was fighting to stay alive.”

 ‘If I’d Gone to Hospital 24 Hours Later, I’d Be Dead’

Sam was told if he had arrived just one day later, it would have been too late.

“The doctor said I wouldn’t have survived another 24–48 hours. By calling the ambulance, Alice literally saved my life.”

He was placed in the Resuscitation Department, and tests showed dangerously high infection markers.

“A normal CRP protein level is 0–5 milligrams. Mine was over 400. My liver enzymes were triple the normal range. They said I was the sickest patient on the ward.”

 A Body Pushed to Its Limit 

The star was fitted with a catheter and began suffering from severe water retention, his abdomen swelling to the size of a pregnant woman.

“I’ve always been fit, I had a six-pack — but suddenly my stomach ballooned. It was agonizing. My eyes turned yellow, my legs were swollen, and I could barely move.”

He lost 15 kilograms in just eight days, dropping from 87kg to 72kg.

“At one point they wanted to drain the fluid with a needle,” Sam said. “Thankfully, my kidneys started working again.”

 A Family Marked by Tragedy

Sam’s father Mark Vanderpump, Lisa Vanderpump’s older brother, died tragically in 2018 at age 59. His death was ruled a suicide linked to drug toxicity — a loss that devastated the family.

Now, years later, Sam faces his own life-or-death battle — determined to live not only for himself, but for his mother Simone and fiancée Alice.

 “You Never Think the Flu Could Kill You”

Sam, who was born with congenital hepatic fibrosis and polycystic kidney disease, said the conditions had been dormant his entire life. But a combination of flu and asthma triggered the catastrophic organ failure.

“I’ve always had check-ups every six months. I was told I was healthy. Doctors believe the flu weakened my immune system and caused everything to spiral at once.”

 A New Purpose

After his near-death experience, Sam says he’s done with the party lifestyle and is now focused on raising awareness of liver and kidney disease — especially the early warning signs of sepsis, which kills more Britons each year than lung, breast, and bowel cancer combined.

“This has given me a completely new outlook on life,” he said. “I used to spend my free time partying and drinking. Now, I want to use it to help others.”

He plans to host a charity event with Made in Chelsea, set to air in an upcoming episode.

 The Message That Could Save Lives

As he awaits a transplant, Sam hopes his story will inspire others to register as organ donors and to take flu symptoms seriously.

“You never think something so simple could nearly kill you. But it can.”

 A brave young father, a cruel diagnosis, and a race against time. Sam Vanderpump’s story is a reminder of how quickly life can change — and how love, courage, and awareness can save lives.