William H. Macy Frank Gallagher Actor Emmy Rossum Fiona Gallagher Actor Justin Chatwin Steve Actor Ethan Cutkosky Carl Gallagher Actor Shanola Hampton Veronica Actor Steve Howey Kev Actor Emma Kenney Debbie Gallagher Actor Cameron Monaghan Ian Gallagher Actor Jeremy Allen White Lip Gallagher Actor Laura Wiggins Karen Jackson Actor Emma Greenwell Mandy Milkovich Guest Star Jake McDorman Mike Pratt Guest Star Joan Cusack Sheila Jackson Guest Star Emily Bergl Sammi Slott Guest Star Scott Grimes Dr. Zabel Guest Star Lisa Vidal Maria Vidal Guest Star Audrey Wasilewski Ann Matlock Guest Star James Ponsoldt Director John Wells Writer Lisa Morales Writer