Based on the author's historic tours of the area, Haunted Etowah County ensures that visitors to the popular area will be able to relieve their experiences with the undead. The book primarily focuses on the county seat and epicenter of Etowah County, Gadsden, which is situated along the Coosa River. Gadsdens own history is intertwined within the river trade of Etowah County. It is said that famed riverboat Captain James M. Elliott Jr haunts the banks of the river. Additional chapters focus on the many downtown landmarks reportedly riddled with ghostly activity, the roots of which go back all the way to the 1820's.