Getty Randy Jackson is the guest mentor on the May 4, 2026 episode of American Idol and his appearance is sparking concern among his fans. The 69-year-old record executive, who was one of the original judges on the singing competition series, appeared to be frail and soft-spoken while mentoring the Top 5 contestants. Randy sat in a chair while helping contestants with their contestants and fans are noting he was speaking slower than usual. Back in 2022, Randy talked about his health journey and gave an update on maintaining his 100+ pound weight loss.