if he doesn't care about looking good for you then maybe you should find someone more attractive

You sound very shallow. Do you only care about what he looks like and not the fact that he's ruining his health?

Give him a final warning, then start looking into filing for divorce. You aren't sexually attracted to him, and it sounds like either a) he still expects you to have sex with him when it would be unwanted for you or b) he's possibly getting sex elsewhere and that is part of why he doesn't care about your statement. There's also the fact that if his weight is ballooning, that he will eventually reach a size that he is unable to care for himself and will expect you to do so for him, which is another reason to look into a divorce. Aside from the fact he's made it apparent he doesn't give a shit about the relationship, his health, or your opinion. It's also not unheard of for a relationship with someone with eating issues to cause the other partners health to suffer, since partners tend to eat meals together. That's putting aside the damage that the diet of an obese adult can do to the health of any children they care for. Basically saying that if his weight is that big of a problem for the relationship (and it sounds like it very much is) you are well within your rights to look into and file for a divorce. You don't owe it to him to stay with him when he's made it apparent your opinion doesn't matter to him.

So he is eating himself to death? Wow... Tell him he needs to move out right now. Don't wait anymore or you may have a corpse on your hands... It's not a joke, if he is that fat he can't work out, he needs surgery...

Wow, I get it if you're concerned about his health, but you're more concerned about his physical appearance? Wow, that's a shame.

Maybe it's your lack of tactfulness that is partially contributing to his weight gain.

He may be depressed and need to seek help. If you are putting that kind of pressure on him, this will only exacerbate the issue. A large number of people use food and eating as a coping/dependence mechanisms and they can get addicted to this just as if they were abusing drugs/alcohol/etc. The lack of physical attraction really is the lowest thing to be considering right now.

1, has he been to a Dr to see if there is a medical reason for his weight since it hasn't always been this way? 2, guess you kinda skipped over the "for better or worse, in sickness and in health" part huh? 3, it's good that you have communication, but you Married this man.... to be willing to lose someone that you are supposed to be In Love with over his physical appearance is possibly the most shallow thing I have ever heard.

Why are so many people criticizing op for being shallow? She never said she was divorcing/leaving this man... She did say that she's not attracted physically to her husband who's neck is indiscernible from his head/body, and that he's not following up on his promises to be healthier. Who would can blame her for feeling like this is a total FML situation? It would be awful to sit there and watch helplessly as your loved one ate themselves to death, and equally bad to know that they have little or no respect for your feelings on the matter. Brutal honesty in a situation like this is imperative; without knowing how they're hurting their loved ones, an addict has little incentive to change (yes there is a risk for causing more emotional eating, but it sounds like he's already doing that on his own). He needs help, and hopefully op will be able to point him in the right direction.

Hope things get better, OP. That's rough.