David Sconce engaged in numerous macabre and inhumane practices including mutilating corpses, holding mass cremations, harvesting organs and body parts for profit, pulling teeth to extract gold fillings, and stuffing as many bodies as possible into crematory chambers sometimes by breaking bones or cutting off limbs.

David Sconce pleaded guilty to 21 criminal counts including mutilating corpses, holding mass cremations, and hiring hitmen to target rival morticians. He was sentenced to five years in prison in 1989, served two and a half years, then later sentenced to 25 years to life in 2013 for violating probation, and was released on parole in 2023.

The series features interviews with families of the victims of the Lamb Funeral Home, former employees, journalists Ashley Dunn and David Geary, and other individuals such as Barbara Hunt, Jolena Grande, Jay Brown, and Elie Estephan.

The scandal involving David Sconce and the Lamb Funeral Home led to tighter regulations and greater transparency in the funeral industry, as the case exposed widespread abuses and unethical practices behind closed doors.

David Sconce provides insight into his crimes by alternately denying and bragging about his transgressions. He appears proud of his ability to maximize profits through unethical means, showing more aggrieved than remorseful behavior during his interviews at age 68.