The album is the story of a Colonel Parker-type character called Mr. X, who finds a pair of Siamese twins who have miraculous healing powers. He convinces them to let him manage their careers, touring them as holy healers and conducting services during which they cure the masses. Mr. X begins to lust after the "female" twin, then realizes that the twins' sexes are fluid rather than fixed. When he discovers that the twins are far more worldly than he had believed, and therefore less under his control, he plots a vicious rape in which he severs the connection between the two, splitting them forever. In the end he realizes that his feelings for the twins were not being imposed on him by the twins, but came from within himself.
The story is narrated in the first person by Mr. X. He is accompanied throughout by instrumental music and sung commentary by Laurie Amat, who acts as a "Greek Chorus" (and sings the opening credits on the first track).