The story deals with a writer named Jeppe Verflucht, whose surname means "cursed" in German, played by a baritone singing primarily in his upper register, who is found drunk on a hill by Erik and Josh, employees of media mogul Harry Schoenberg. Schoenberg had rejected Jeppe's manuscript some twenty years earlier, and now Schoenberg plans to place him in his own reality TV show in which Jeppe believes that he is in Heaven in the 1920s, in which he intends to abuse the writer by having him wake up in Schoenberg's bed next to his wife, Beatrice, a violinist whose relationship with her husband has soured since he forced her to get an abortion, after which she has never played. Beatrice is Fellbom's creation and has no equivalent in Holberg's original. To complicate things even further, Jeppe's wife, Dolly, a bus driver, who has accused Jeppe of being impotent, is having an affair with Erik, who, along with Josh (an accountant), is one of the camera operators on the show. The other principal characters include La Diva, the star of Shoenberg's American Civil War musical, and Luna, Jeppe's bartender, a neo-hippie who claims that her name was given to her by Jimi Hendrix touching her mother's abdomen at Woodstock.
Unlike many operas, the action and visuals often have a severe contrast to the text. In one scene, the text says that Schoenberg is physically hurting Jeppe when in fact, he is not.
Near the end of the opera, Erik dons a cowboy hat and demonically screams at Jeppe in a fashion more akin to rock music than opera. In the American premiere, the role was played by Nathan Baer, the only principal not doubled over the four performances, whose approach to the role in this scene suggested Oingo Boingo's Danny Elfman. Further, rock music is interpolated by Luna and the patrons of her tavern, quoting Janis Joplin's "Oh Lord, won't you buy me a Mercedes-Benz."
Jeppe initially meets Beatrice when she accidentally knocks him over with her bicycle, which she rides in a jogging suit, an unusual example of a woman wearing pants in an opera and still playing a woman. In the original production, the women wore dresses throughout with the exception of this scene.
The opera ultimately ends happily with Jeppe and Beatrice getting together, and Schoenberg publishing Jeppe's novel.