Credited with superhuman intellect and abilities, the serial sex killer emerged in the 1980s as a dominant figure in American popular culture. In a decade marked by conservative politics and fundamental Protestantism, the serial killer was accused of attacking the traditional values underpinning American society and was used to manipulate public fear for political gain.

Using government reports, trial transcripts, and correspondence, "Better to Reign in Hell" examines the people and events that led to and perpetuate this panic, notably President Ronald Reagan, the New Right, the FBI, and the media.

As well as detailing high-profile cases such as those of Son of Sam and Ted Bundy, the book features interviews with law enforcement officers and convicted serial killers.