The earliest hell house appears to have been created by Rev. Jerry Falwell in the late 1970's. The concept was picked up in 1992 by Keenan Roberts. His first Hell House was in Roswell, NM. Since then, he has become a pastor of the Destiny Church in Arvada, CO and sells Hell House Outreach™" kits to other churches. Included is a 263 page manual which covers everything from casting to publicity to instructions on how to make hamburger meat look like a fetus and where to store vats of blood.

Roberts has received international attention through an appearance on the Phil Donahue Show, and reports in the London Times, MS Magazine, New York Times, and Newsweek Magazine. He told the Denver Post he designed Hell Houses to "show young people that they can go to hell for abortion, adultery, homosexuality, drinking and other things unless they repent and end the behavior." In his first three years of business, Roberts sold 300 kits and had 20,000 guests. Since then there have been approximately 3,000 Hell Houses across the country.

Hollywood Hell House is done according to guidelines of the Hell House Outreach™" kits distributed by Destiny Church.