Tears, expletives — and a very scary emergency! The Real Housewives of Orange County ladies are joined by a new cast member and deal with an endless amount of drama in season 11, as seen in Us Weekly‘s exclusive trailer. The new season of the long-running Bravo series — which kicked off the entire Housewives franchise, mind you — premieres on Monday, June 20.

The show’s returning stars are Vicki Gunvalson, Tamra Judge, Heather Dubrow, Shannon Beador and Meghan King Edmonds. (Amazingly, no one from last season got kicked off!) The newest Housewife is Kelly Dodd, who is best friends with King and has a 9-year-old daughter, Jolie, with husband Michael.

An especially memorable moment from the promo shows Gunvalson leaving a phone message for on-off boyfriend Brooks Ayers.

“Brooks, this is Vicki. I believe you, and I love you,” the OG Housewife says. This appears to shock Judge, who has never been Ayers’ biggest fan, particularly after he admitted last season to lying about his cancer diagnosis.

In another tense scene, Dubrow is in tears after a heated moment with husband Terry, who struggles to balance family with his plastic surgery business and his own reality show, Botched.

“You’d say yes to everyone but us,” Heather tells him about their family.

The promo ends with footage of Gunvalson and Judge’s recent dune buggy accident, after which both women were taken to a hospital for medical attention.

Watch the wild trailer in the video above.

The Real Housewives of Orange County season 11 premieres on Bravo Monday, June 20, at 9 p.m. ET.