The album tells the fictional story of Ludwig van Beethoven on the last night of his life, as the devil, Mephistopheles, comes to collect his soul.

In consolation, Fate allows Beethoven to travel back through his life in order to review it and make any changes that he wishes.

Beethoven turns to Fate and informs her that he did not need the hardships that he had faced, with his mother dead and a painful childhood.

As a final tactic, Mephistopheles points out the window to a young orphan, and describes the tortures that she will receive if Beethoven refuses to hand over his music.

After Twist's prompting, a contract is drawn up by Fate, stating the following: It is agreed upon this night, March 26, 1827, between the undersigned, that the music of the Tenth Symphony, composed by Ludwig van Beethoven, first born son of Johann and Maria van Beethoven, of the city of Bonn, shall henceforth be the property of Mephistopheles, Lord of Darkness and first fallen from the grace of God.

In exchange for the destruction of the aforementioned music it is also agreed that Mephistopheles and all his minions will remove themselves from the life of the child presently sleeping in the gutter directly across from the window of this room.

After Mephistopheles leaves in a fit of rage, it is revealed that the true destination of Beethoven's soul is actually heaven (as Twist explains, the devil was simply lying to him all along).

[3] On March 13, 2012, Beethoven's Last Night: The Complete Narrated Version was released and made available exclusively at Wal-Mart stores and TSO concerts.

This two-disc deluxe edition includes all of the music from the original release and, for the first time, the narration featured during live performances of the album.