Records and recorded live at the Skyline Comedy Cafe in Appleton, WI on April 5–8, 2006, Morbid Obscenity features music by "Banjo Ghost" Randy McCleary and stand-up sets by Doug Stanhope, Sean Rouse, Andy Andrist, Lynn Shawcroft, and Arthur Hinty.

Organized by Doug Stanhope, the CD was created as a benefit seeking to raise $25,000 for Arthur Hinty to receive Roux en Y gastric bypass surgery, which his insurance would not cover even though his diabetes was greatly affected by being morbidly obese.

Serving as both MC and headliner, Stanhope makes his sixth appearance on a stand-up CD with Morbid Obscenity.

Having done stand-up only a handful of times, Hinty performed a short set consisting of a mixture of original material and some jokes that had been "donated" to him by comedians Andy Andrist, Norman Wilkerson, Larry Hyde, and Jack&Dino.

In the year following the surgery, Hinty provided various incentives and discounts for those who bought the CDs, including one sale that was designed to encourage people to vote for Brendon Walsh in the Famecast finals.