It appears tragically authentic because it is.
The show frequently features subjects who hoard as a coping mechanism in an uncaring world.
Naturally, though, the series isn’t a documentary.

Another user chimed in noting reports point to the show being one of the most legit of its kind.
As oneReddituser surmised, the fakest element of “Hoarders” might be the onscreen drama.
“I would guess that the hoard is real and some of the reaction shots are.

That’s pretty standard with reality TV, so not terribly surprising.

