The manga centers on a set of twins with an older brother and younger sister. The twins were born with a set of odd matching birthmarks on their sides. After their mother abandoned them their stepfather sold them off to a freak show. The story tells what becomes of the twins afterward. (Source: ANN)

Tomino no jigoku has been published in Russian by Comics Factory since January 20, 2018. It has been licensed in Spanish by ECC Ediciones.