
Karnak then announces the teens are in a literal game of life and death, where they all must compete for the chance to be returned to the world of the living. Each of the five teens are introduced in a manner reminiscent of video game character introductions. Five teens arrive in limbo, and Karnak informs them of their impending demise. Ride the Cyclone." He tells the audience that a small town choir has ridden the fair's roller coaster, the Cyclone, to their deaths (The Uranium Suite). The insensate Karnak was formerly able to predict the exact moment of a person's death, but the carnival set him to "Family Fun Mode," meaning that he could only repeat fairground advertising: "Your lucky number is seven. Karnak reveals that he will die soon, as a rat is chewing his power cable. Our host for the evening is Karnak, a mechanical fortune teller automaton (Welcome). The play opens with the voice of Jane Doe singing, leading to the introduction of the musical's narrator (Karnak's Dream of Life).

will provide the kind of thrills we look for in all musical comedies, however outlandish their subject matter: an engaging and varied score, knocked out of the park by a superlative cast, and a supremely witty book." Plot Charles Isherwood of The New York Times praised the show, stating "this delightfully weird and just plain delightful show. She was replaced by original Chicago company member Tiffany Tatreau. Taylor Louderman was initially cast in the production but withdrew during previews, citing creative differences.

With Rockwell again directing, the show opened Off-Broadway at the Lucille Lortel Theatre with an official opening night on 30 November 2016, ending its limited run on 18 December. Directed by Rachel Rockwell, the production opened on 29 September 2015, playing a limited run until 8 November.

The American premiere took place at the Chicago Shakespeare Theater. A production played at the Theatre Passe Muraille, Toronto in 2011, and there was a tour of Western Canada in 2013. The world premiere production took place in Victoria, British Columbia at Atomic Vaudeville in 2008.
