It is a fictionalised biographical study of the latter half of the reign of George III of the United Kingdom, his battle with mental illness, and the inability of his court to handle his condition.
After its London run, the production toured the UK and the United States, returned to the National Theatre in 1993 and was then presented in Athens and Israel in 1994.
The play was staged at the Lowell Davies Festival Theatre in San Diego, California, from June 19 to September 24, 2010.
Frank Rich of The New York Times singled out Nigel Hawthorne's performance in the US tour, calling it "astonishing" and "unforgettable", but he labelled the play itself as not "one of Bennett's major works" and as being more "marketable to Broadway and the colonies".
She notes that "Gatiss delivers a tour de force" in this "viscerally repulsive depiction of the gap between public and private life."