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In the past, an inebriated Gacy confesses to Sam the ways he groomed, sexually assaulted, tortured and killed countless boys and young men.
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.