There was this one episode where these two old people had like over 40 cats living in their house on top of the normal hoarding mess. They were facing prosecution for animal cruelty and they had animal control in there to help get the cats out. In the end they pulled 70+ cats from the place. At least 30 of those were skeletons.

These were two old people. The lady had had a stroke and the man didn't look too stable either. They adopted strays in addition to the cats they chose. I don't think they had any, or many, neutered. I just don't even know what to think in a situation like that, you know? It's a pretty sad and emotional show all around but this episode was particularly heartbreaking for me.