[1] The ham is covered with extra stuffing, wrapped in a cloth to hold everything together, and then boiled until the meat and greens are fully cooked.

Stuffed ham is believed to have originated in Southern Maryland, specifically in St. Mary's County, and remains popular in that region to this day.

Typically the ham has a distinctively spicy flavor due to added seasoning.

Recipes vary widely, since they are traditionally passed down from one family member to another.

In 1997, improperly prepared stuffed ham served at the Our Lady of the Wayside Catholic Church fund-raising dinner in Chaptico, Maryland was responsible for one of the largest multi-drug resistant Salmonella Heidelberg outbreaks in Maryland which sickened 750 people and caused two deaths.