[1] The musical, like the film, follows a small town who work together to try to convince a visiting doctor to make their beloved harbour village his new home.

Led by the mischievous Frank, the residents of Tell Tale Harbour try to work together to lie, cheat, and con a visiting doctor to live and practice in their community.

[2] In November 2021, it was announced that Alan Doyle would star in Tell Tale Harbour, which he had co-created with Adam Brazier and Ed Riche.

The production set a record for ticket sales at the Confederation Centre of the Arts, becoming the top selling show in the festival's history.

[5] Following the original production, David and Hannah Mirvish encouraged the show's creative team to expand and refine the musical.