Full disclosure: Randall is an especially tough nut to crack in this department. But between his constant do-gooding behavior and his ongoing battle with anxiety, it's clear that something's been weighing on his mind since Jack passed away 20 years ago.
Although we totally love Randall for his big heart, he takes the term "good deed" above and beyond. It seems like there's rarely a second he isn't trying to help someone. First, he welcomes William into his home and nurses him through cancer; then he fosters Déjà; and most recently, he invests in a building for lower-income residents in an effort to fix the place up. That's a hell of a lot of good deeds in a short time period, which begs the question: is he overcompensating for something? Although we don't know exactly what his role in Jack's death was just yet, the short answer is probably.
It's safe to assume Randall feels pretty terrible about skipping out on watching the football game with his parents to take Allison to see Titanic. But we wouldn't be surprised if his guilt simply stems from his personality. Randall is a perfectionist to a T and is quick to load himself up with responsibilities that he can't necessarily handle. Remember his panic attack? It's very possible he feels pangs of guilt because he didn't do more to help Jack during the fire. Rather than coping with his feelings by using drugs or overeating, Randall deals with his feelings by trying to fix everyone else's problems.
