The film was produced by Richard Brown and Steve Golin (Babel, Eternal Sunshine of the Spotless Mind), and featured cinematography by Daniel Landin.

Diamond's partners in crime are suave homosexual gambler Meredith, crotchety and bigoted Old Man Peanut, the down-to-earth Archie and the combustible Mal, who by turns encourage Colin's lust for revenge and sympathise with his situation, and conspire to emotionally and mentally torture Liz's new boyfriend, Loverboy, a "Frog" waiter, first by locking him in a cupboard and threatening him, and then tying him up and subjecting him to humiliating verbal and physical assault.

Parts of the story occur in flashback, with Colin discovering Liz's infidelity and the after-effects of it, which then affect the present, in which he tries to come to terms with the shame and torment that this brings to him.

The critics consensus reads, "An actor's movie with a strong cast, 44 Inch Chest can't quite redeem its static plotting and tonal shifts.

[5][6] From 12–24 August 2019, 44 Inch Chest was performed on stage for the first time as part of the Edinburgh Festival Fringe, at the Perth Theatre (aka theSpace on North Bridge).