Nadat hij is gearresteerd, begint een man uit Texas de brute moord op meer dan 200 vrouwen te bekennen. Hij vertelt over zijn willekeurige selectie van slachtoffers en zijn reisgenoten, zijn vriend en de zus van zijn vriend. Maar de politie weet niet zeker of ze hem moet geloven of niet, totdat hij een lichaam vindt en hen enkele polaroids laat zien. Gebaseerd op het waargebeurde verhaal van Henry Lee Lucas.
Nee, helaas is Confessions of a Serial Killer nog niet beschikbaar op Netflix in Nederland.
| Art | Robert A. Burns | Production Design |
| Production | Frank Y. Smith | Executive Producer |
| Writing | John Dwyer | Writer |
| Editing | Sheri Galloway | Editor |
| Sound | William Penn | Original Music Composer |
| Camera | Layton Blaylock | Director of Photography |
| Production | Cecyle Osgood Rexrode | Producer |
| Crew | Gregg Stouffer | Special Effects |
| Production | Susan Elkins | Production Manager |
| Directing | Jeff Graham | Second Assistant Director |
| Sound | Paul Harrison | Location Sound Mixer |
| Art | John Frick | Set Decoration |
| Sound | Henry Miller | Boom Operator |
| Directing | Brenda K. Wachel | Script Supervisor |
| Camera | John Sheeren | First Assistant Camera |
| Sound | Larry Seyer | Sound Mixer |
| Art | Catherine Rhodes | Property Master |
| Sound | Ivan Bigley | Sound Effects |
| Sound | Jim Crow | Sound Effects |
| Production | Sam Balkum | Casting |
| Costume & Make-Up | Estreya Kesler | Hairstylist |
| Editing | John Gibson | Assistant Editor |
| Costume & Make-Up | Dee Chappell | Wardrobe Assistant |
| Directing | Kim Fusch | Third Assistant Director |
| Art | Todd Smiley | Art Direction |
| Camera | Mike Fleming | Second Assistant Camera |
| Sound | Henry Miller | Location Sound Mixer |
| Sound | Irv Gorman | Boom Operator |
| Editing | Marcos E. Gonzales | Assistant Editor |
| Editing | Dee Chappell | Assistant Editor |
| Costume & Make-Up | Estreya Kesler | Makeup Artist |
| Camera | Ralph Watson | Steadicam Operator |
| Directing | John Gibson | Second Assistant Director |
| Art | Gregory Cundiff | Set Decoration |
| Production | Kathie Redmond | Production Coordinator |
| Directing | Randy Ostrow | Assistant Director |
| Directing | John Dwyer | Director |
| Production | Jo Edna Boldin | Casting |
| Costume & Make-Up | Estreya Kesler | Wardrobe Master |
| Lighting | Phil Curry | Gaffer |
| Lighting | Gerald MacClanahan | Best Boy Electric |
| Camera | David McGill | Best Boy Grip |
| Camera | Mark Gonzales | Grip |
| Production | Eric Truax | Location Manager |
| Visual Effects | Charles Floyd | Visual Effects |
| Visual Effects | Jack Dean | Visual Effects |
| Editing | Al Hansen | Color Timer |