Art Bell opens with coverage of the devastating 6.8 magnitude earthquake that struck Seattle, speaking with geologist Jim Berkland about tidal prediction windows and Peter Davenport about experiencing the quake firsthand. A caller's eerily accurate prediction of a morning earthquake in Seattle, recorded weeks earlier on the show, adds a chilling dimension to the evening's events.

The program transitions into its annual Ghost to Ghost tradition, beginning with WTAM Cleveland sports reporter Mark Schwab, who recounts his harrowing experience in a rented Florida house where alarm clocks activated on their own, footsteps approached his bed, a night light flashed inexplicably, and a paranormal expert identified two spirits flanking him on live radio. A second guest, Todd, describes living in the late actor J.T. Walsh's home, where locked doors, cigarette smoke from empty rooms, and a shaking bed became nightly occurrences.

Art then opens the lines for listener ghost stories, including an EVP recording captured at a reportedly haunted apartment and accounts of phantom touches and objects moving on their own. The stories range from protective spirits to deeply unsettling encounters, each told by callers who insist on the reality of their experiences.