The film details Dr. Richard Strauss's sexual abuse of athletes, including conducting inappropriate genital exams without gloves during routine check-ups or injury treatments, and in one case, drugging and raping a hockey player at his home. Survivors describe how every physical exam ended with an intense hands-on genital examination, often under the guise of medical necessity.

Survivors featured include alumni Mark Coleman, Adam DiSabato, Michael DiSabato, Will Knight, Al Novakowski, Rockey Ratliff, Dan Ritchie, and Mike Schyck, who provide detailed accounts of Strauss's abuse and the impact on their lives.

The documentary asserts that Ohio State University officials and staff, including wrestling coaches and administrators, knew about Strauss's misconduct but attempted to cover it up. It highlights that more than 50 university employees were aware of concerns but failed to take meaningful action, allowing the abuse to continue for decades.

Jim Jordan, a former Ohio State wrestling coach and later U.S. Congressman, is depicted as having been informed multiple times about Strauss's abusive behavior. Survivors claim Jordan and other coaches dismissed the allegations, with Jordan reportedly saying he would have violently confronted Strauss if abused himself, yet he did not act to stop the abuse.

The filmmakers uncovered new data during production, including detailed survivor testimonies and evidence of institutional cover-up. The film reveals the extent of the abuse, the university's long-term failure to protect athletes, and the ongoing legal battles, including settlements exceeding $60 million and continuing lawsuits under Title IX and state negligence law.