[1] St. James was known for a lifestyle of excess that included heavy drug use, partying, and bizarre costumes that first brought him to national attention as the subject of television appearances and interviews.

[3] Undeterred, Alig soon created his own scene by gathering up other creative personalities of the nightlife world; he used his flamboyant style, and engaged in self-promotion and themed parties.

St. James wrote several columns, most famously for the short-lived New York City-based gay publication OutWeek during the magazine's two year life span from 1989–1991.

St. James published a second book, Freak Show in 2007, a comedy/romance about a teenage drag queen who attends a new school and forges a relationship with the football team's quarterback.

St. James also appeared in season 2, episode 9 of RuPaul's Drag Race, where he interviewed the top four contestants on a red carpet before they walked the runway.