In the town of Transylvania Heights, the year 1934, the villagers celebrate the funeral procession of the mad scientist, Dr. Victor von Frankenstein. However, Inspector Hans Kemp, whom has a wooden right arm, ruins the happiness with news about the existence of Victor's grandson: Frederick, the Dean of Anatomy at New York's best university, known as the "John, Mariam, and Anthony Hopkins School of Medicine." Despite the terrifying discovery, Ziggy the village idiot convinces the villages that there was no way a New York doctor would come to Transylvania, thus continuing the celebration ("The Happiest Town in Town").
At New York, Frederick deals with the shame of being a Frankenstein. When asked about this relationship, he insists that his name be pronounced "Fronkensteen" and that he is not a mad man but a scientist. He then lectures his students about the greatest mind of science with the volunteer guinea pig, Mr. Hilltop ("The Brain"). He inherits a castle in Transylvania from his grandfather Victor and travels to see it. His tightly-wound fianc?e, Elizabeth Benning, sees him off before he steams to Europe ("Please, Don't Touch Me").
In Transylvania Heights, he meets the hunchback Igor (pronounced "eye-gore"), the grandson of Victor's henchman, who is extremely excited to meet him ("Together Again"). Igor has hired the services of Inga, a yodeling lab assistant with a degree from the local community college. They ride off to Castle Frankenstein ("Roll in the Hay"). The forbidding housekeeper of the castle is Frau Bl?cher. Frederick is surprised to find only mundane books in the library such as Black Beauty and the Kama Sutra. Before bed, the doctor is offered warm milk, brandy, ovaltine, and a Grande Soy Macchiato, by Frau Bl?cher, but he wants nothing.
Frederick falls asleep reading Little House on the Prairie and dreams of his grandfather, 4x great grandfather Mordecai, and other ancestors, who tell him to build a monster ("Join the Family Business"). He is awakened by Inga, and they find the secret entrance to his grandfather's laboratory by following the sound of the eerie music played by Frau Bl?cher. They confront her, and she tells of her past with the late Victor ("He Vas My Boyfriend"). After reviewing his grandfather's notes, Frederick becomes committed to carry on the late deranged genius's experiments in the reanimation of the dead. They dig up a huge corpse with a large "schwanstuker." The villagers gather at the local town hall for a meeting and are instructed to be on the lookout for grave robbers ("The Law"). Igor and Frankenstein carefully walk away with the corpse in tow while Ziggy waves at the doctor out of a window.
Frederick knows just where to find the brain of a genius and a saint. He sends Igor to fetch it, but the hapless henchman drops it on the way back. He gets another brain but does not tell the doctor. Frederick creates the creature ("Life, Life"). Unfortunately, the monster goes on a rampage shortly after waking. The doctor is distressed to find that Igor had provided a different brain whose name he recalled was "Abby Normal".
Inspector Kemp and he townspeople come to investigate, pretending to welcome Frederick ("Welcome to Transylvania"). Frederick and his employees try to stall the villagers ("Transylvania Mania"), while Frau Bl?cher frees the monster without letting Frederick know.
Everyone goes out to search for the monster ("He's Loose"). Inga talks to the frustrated doctor ("Listen to Your Heart"). Frau Bl?cher and Igor find the two suspended on the platform, completing what Igor believes the doctor to be the "doing an experiment on the female anatomy and she's assisting his brains out."
Elizabeth arrives unexpectedly in Transylvania with a large entourage (Masha, nails; Sasha, make-up; Tasha, hair; Basha, wardrobe; and Bob the astrologer) and finds Frederick and a naked Inga, who tell her that there was no funny business going on ("Surprise"). Meanwhile, the monster finds a Blind hermit after breaking through his house wall ("Please Send Me Someone"). Eventually, he is startled into another rampage and leaves, to be captured by Frederick. The doctor locks himself into a room with the monster, and after overcoming his fears, tells the monster that he is a good looking fellow who is loved ("Man About Town").
At a theater the monster is presented, now dressed as a gentleman, first walking on command, then dancing ("Puttin' on The Ritz"). But the monster becomes enraged when some stage lights accidentally pop and explode. Elizabeth ends up being kidnapped by the creature. But she overcomes her fear: she sees a different side of the monster ("Deep Love"). Lured away by the sounds of a French horn, Frederick attempts an intelligence transfer, but the monster does not wake, and Frederick is hanged, saying that he will die a Frankenstein (Frederick's Soliloquy).
The Monster returns, using his newly transferred medical skills to discover that Frederick is not dead, but just unconscious from a cracked neck. The Monster then revives the doctor by sticking a hat pin into a nerve in his neck. After apologizing and thanking his creator, the Monster before proposing to Elizabeth ("Deep Love (Reprise). The hermit and Frau Bl?cher agree to go out on a "blind date," and Frederick becomes engaged to Inga ("Finale Ultimo").
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