Hosted by The Boulet Brothers, this reality competition show features monster drag artists from around the world competing for a chance to win $100,000 and the title of "Dragula, The World's Next Drag Supermonster". Each week, the competitors are tasked with horror-based makeup, design, and performance challenges meant to test their skills and prove they have what it takes to remain in the competition. For the monsters that fail, grueling mental and physical "Extermination Challenges" await with horrifying and deadly consequences, until only the strongest finalists remain.

This spin-off series of The Boulet Brothers' Dragula stars monster drag artists from the show's previous seasons returning to the competition for a chance to win a $100,000 grand prize and the title of Queen of the Underworld. Each week the returning drag monsters must compete in makeup, costume creation, and performance based challenges to prove that they are the best of the best, while the weakest among them must face terrifying physical feats or risk elimination until only the true Titan of Dragula remains.

A teenage boy tears up his small-town roots and heads for the big city to make his mark while honoring his mother's legacy by entering a drag pageant.