Twisted Christmas features Bob Rivers performing a variety of novelty holiday songs. Featured performances include "There's Another Santa Claus," "Walkin' 'Round in Women's Underwear," "I Am Santa Claus," and "We Wish You Weren't Living With Us," in addition to 37 others. This is a rather lengthy album, spanning the distance of three discs. Throughout, Rivers proves his wit, never exhausting his ability to inspire humor.