With new, updated material, P. J. O'Rourke covers the whole election process from the pig pile of presidential candidates circa June 2015, through his come-to-Satan moment with Hillary and the Beginning of End Times in November 2016, to the current shape of US politics.

How the Hell Did This Happen? answers the key question of the 2016 presidential election: Should we laugh or should we cry or should we hurl? (They are not mutually exclusive.)