Author Derf Backderf graduated from high school with Jeffrey Dahmer in 1978. While they weren't close, they moved in the same outcast circles, and Backderf has a unique perspective on the early development of the man that would become one of the worst modern serial killers. Combining his recollections with interviews, transcripts, news reports, and FBI files, among other sources, Backerf gives us a portrait of Dahmer's home and school life filled with an ominous sense of creepiness, knowing what Dahmer became. His art evokes the era and the outsider Dahmer was then and would always be. The biggest question the author asks in this book: why didn't the adults notice any of the many signs that Dahmer was an incredibly troubled young man? Could he have turned out differently if someone had intervened?