[2][3] Adam Pearson was born in Croydon, London, on 6 January 1985, along with his identical twin brother, Neil.

He had various jobs in television production for the BBC and Channel 4 including the shows The Undateables and Beauty and the Beast.

He has presented the BBC Three documentaries Adam Pearson: Freak Show and The Ugly Face of Disability Hate Crime, and appeared as a reporter in the Channel 4 series Tricks of the Restaurant Trade.

[9] Pearson is a regular caller and occasional guest host[10] to The Bedtime Babble On, a radio programme that airs on Spark Sunderland, weeknights from 10pm.

In 2024 Pearson played a leading role in Schimberg's next movie, A Different Man, alongside Sebastian Stan and Renate Reinsve.