The album was a combination of original music, standards and comedy vignettes. Most of the traditional songs were given a campy twist. The title is a double entendre; though it is a phrase associated with Christmas and Santa Claus, the term "ho" also refers to a whore or prostitute. The album's cover features three scantily-clad versions of RuPaul, and the back cover features her legs with panties around the ankles; these are the "three ho's".
The album also included a remix of the song "Celebrate" which had appeared on RuPaul's 1996 studio album Foxy Lady. "Celebrate" was released as a promo single and received airplay in dance clubs which resulted in it charting on the US BillboardDance chart. It spent a total of 7 weeks on the chart peaking at number 31 in October, 1997.
Absent from the album is RuPaul's R&B version of "Little Drummer Boy", which was recorded and released by Tommy Boy Records in 1993. The clashing of record labels with this album prevented its inclusion.