A psychiatrist interviews Gacy, revealing disturbing details about his past; Tovar and Kozenczak confront the dark truths of the systemic failures that allowed Gacy to kill for so long; a love story unfolds between Billy Kindred and Mary Jo Paulus.
The life of Jeffrey Rignall, one of Gacy's few surviving victims, is chronicled; Gacy's execution day causes massive protests and reunions as victims' family members and those who worked the case seek closure; Amirante tries to move on.