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The documentary opens with stark images of the Holocaust and discusses Adolf Hitler's role in the deaths of millions. Ray Comfort interviews various individuals to gauge their historical knowledge and opinions on Hitler, revealing a mix of ignorance and extreme views, including an encounter with a neo-Nazi supporter. Comfort presents hypothetical questions about morality and the past, engaging participants in a dialogue that leads to comparisons between the Holocaust and abortion in the United States.

Comfort's arguments are designed to challenge viewers' perspectives on life and death, culminating in a stark claim that over 50 million abortions have occurred, which he labels the "American Holocaust." This documentary is part of a larger discussion on evangelical Christianity and anti-abortion sentiments, utilizing psychological manipulation to provoke thought and debate. The film is available in multiple formats, including VHS, Blu-ray, and DVD, appealing to collectors interested in religious propaganda and socially charged documentaries.