It premiered at the 2014 Woodstock Film Festival and was later released on Showtime in December 2014.

The film follows Shore on a cold midwestern stand-up comedy tour of small venues in Wisconsin and Minnesota as he interacts with fans and deals with health issues and the realities of mortality.

The documentary opens with a brief clip from Shore's 1993 HBO special Pauly Does Dallas, followed by a title card reading "22 years later."

Pauly, now age 45, prepares for his standup comedy tour and speaks about his life and about his ailing mother, Mitzi Shore.

Pauly then leaves on his trip for Wisconsin and Minnesota and meets several colorful characters along the way.