William H. Macy Frank Gallagher Actor Emmy Rossum Fiona Gallagher Actor Ethan Cutkosky Carl Gallagher Actor Cameron Monaghan Ian Gallagher Actor Emma Kenney Debbie Gallagher Actor Joan Cusack Sheila Actor Laura Wiggins Karen Jackson Actor Justin Chatwin Steve Guest Star Shanola Hampton Veronica Fisher Guest Star Steve Howey Kevin Ball Guest Star Jeremy Allen White Lip Gallagher Guest Star Anthony Anderson Marty Fisher Guest Star Vanessa Bell Calloway Carol Fisher Guest Star Jane Levy Mandy Milkovich Guest Star Sandy Martin Doctor Guest Star Mimi Leder Director Daniel Brocklehurst Writer Alex Borstein Writer