The Life of Pablo artist checked into the hospital on Nov. 21, where he spent nine days getting treatment. Sources told ET at the time that he was hospitalized for exhaustion and sleep deprivation, while others described the incident as a "mental breakdown."
All the while, Kim made sure to spend as much time with her husband as possible, and it was clear that dealing with the stress and the responsibility was quickly wearing her down.
On Sunday's show, Kim joined her mom, Kris Jenner, and her sisters, Kourtney and Khloe, for a chat at Kourtney's house, and despite not being "in the mood" to discuss her problems, she admitted to being "emotionally drained and exhausted."
However, the reality star remained optimistic about how the hospitalization could end up helping her husband.
"I've been staying home and looking to him to take care of everything while I stay home," Kim said, reflecting on her own fear of leaving the house following her frightful encounter.
However, Kim also said that it was her responsibility to help Kanye now, no matter what happens, because she loves him and she's committed to their marriage.
"Kanye was really cute, he's like, 'I guess this is what 'for better or for worse' means,' and I'm like, 'Yeah,'" Kim said of a conversation she had with her husband while he recovered. "All of his friends are texting me like, 'Thank you. You're so amazing,' and I'm like, 'No, this is being a wife. This is what you gotta do.'"
Kim's emotional struggle hit close to home for Khloe, given her past experience with ex-husband Lamar Odom. In 2015, the former NBA star was hospitalized after overdosing at a brothel in Nevada, and required a lot of Khloe's time and attention as she helped him recover, despite their estrangement at the time.
"Last year at this time, [I was in your place.]" Khloe said. "But I can't imagine having kids and doing all that. It must be crazy."
"And that's what's hard, because they don't know anything," said Kim, who shares two kids with Kanye -- 3-year-old daughter North and 1-year-old son Saint. "I'm just trying to be normal at home, for them."
"My heart breaks for Kim," Khloe said in a solo interview following their chat. "This year has been just not a great year for her, but what I know about this family is that we f**king fight, and we get through things."
Later in the episode, Kim came over and had dinner with Khloe and her friend, Malika Haqq, who talked with Kim about her responsibility to her children in the face of their dad's health scare.
"You've got other little lives to pay attention to right now," Malika said, and Kim nodded in agreement.
Earlier on this season of KUWTK, Kim expressed interest in having a third child with Kanye, but given how difficult and dangerous her other two pregnancies have been, she was advised to be cautious about that decision. Now, with Kanye's hospitalization, it seems as though she may be reconsidering any family expansion in the near future. As Kim explained it, she's "personally" done having kids.
However, when Malika asked if she'd consider having another child via a surrogate, Kim didn't shoot the idea down, saying, "I just feel like I need some time to see."