The series features interviews with David Sconce himself, families of victims, former employees of the mortuary, journalists Ashley Dunn and David Geary, and other individuals connected to the Lamb Funeral Home case.

David Sconce engaged in macabre and inhumane practices including mutilating corpses, holding mass cremations, harvesting organs and body parts for profit, pulling teeth to extract gold fillings, and hiring hitmen to eliminate rivals at the Lamb Funeral Home.

After taking over the family mortuary, David Sconce expanded the business even as allegations of abuse mounted. The series shows how he maximized profits through fraudulent and criminal activities, including mass cremations and corpse mutilation, before his eventual arrest.

David Sconce pleaded guilty to 21 criminal counts such as mutilating corpses, mass cremations, and hiring hitmen. He was sentenced in 1989 to five years in prison, served two and a half years, then was sentenced again in 2013 to 25 years to life for probation violations, and was released on parole in 2023.

Members of the Lamb family, who ran the funeral home, were convicted of fraud and various crimes related to the mortuary's operations. The series details how the family betrayed public trust by exploiting families and the deceased to maximize profits.