Following up on his 2007 documentary, The Most Hated Family in America, Louis Theroux returns to Topeka, Kansas, for a week-long visit with the Westboro Baptist Church. He again joins the Phelps family on their controversial pickets where they try to antagonise communities with offensive slogans and anti-gay placards. But four years on from Louis's last visit, there are signs of disarray in the Phelps clan. A series of defections of family members has shaken up the church.

Louis visits Coalinga Mental Hospital in California, home to over 500 convicted paedophiles, and spends some time with those undergoing treatment.