After teenager Robert Piest disappears on his mother's birthday, Des Plaines Police Department officers track, interrogate and tail the contractor Piest was last seen with -- John Wayne Gacy.
Officers excavate the crawl space beneath John Wayne Gacy's home; Gacy shows Amirante, Kunkle and Kozenczak where he disposed of Rob's body; Johnny Szyc and his best friend, Lynn, venture into Uptown.
The media circus begins; Amirante questions whether defending Gacy is the right choice; the Piests cope with the reality of what Gacy did to Rob; Sam Stapleton and Randy Reffett navigate boyhood in Uptown.
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.
A blizzard buries Chicago; Kozenczak tracks down Gacy's surviving victims; Kunkle and Kozenczak attempt to break Gacy's accomplice, David Cram; Billy Carroll introduces Dale Landingin to the lucrative, but sometimes dangerous world of sex work.
Kunkle and Sam are knee-deep in Gacy's trial; Tovar volunteers to drive Gacy to and from court, attempting to compel him to come clean about how many he killed; the disturbing tale of how Gacy befriended and groomed David Cram is revealed.
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.