Living Dead Dolls are ten inches tall, made of plastic, with fabric clothing, and come packed in coffin-shaped boxes with death certificates. Each doll has a different cause of death, which is usually described in doggerel verse on the certificate. While the dolls are occasionally inspired by real people such as Lizzie Borden, they are described explicitly as dolls, not representations of actual dead children, and are aimed at an adult audience aged upwards of 15 years.