Typically, the routine has two characters meeting for the first time, with one of them becoming highly agitated over the utterance of particular words. Names and cities (such as Niagara Falls) have been used as the trigger, which then sends the unbalanced person into a state of mania; the implication is that the words have an unpleasant association in the character's past. While the other character merely acts bewildered, the crazed character relives the incident, uttering the words, "Slowly I turned...step by step...inch by inch...," as he approaches the stunned onlooker. Reacting as if this stranger is the object of his rage, the angry character begins hitting or strangling him, until the screams of the victim shake him out of his delusion. The character then apologizes, admitting his irrational reaction to the mention of those certain words.

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