In a remarkable departure from typical horror tales, Joe Hill’s "20th Century Ghosts" presents a story that captivates with a deep exploration of human emotion and the mundane struggles of life. The narrative centers on a woman grappling with survivor's guilt, subtly unraveling her life over the course of twenty-five pages. Unlike many horror stories that focus solely on extreme violence or the grotesque, this tale weaves in elements of family dynamics, work challenges, and financial difficulties, creating a rich, emotional landscape.

Carroll notes that such a grounded, naturalistic approach is rarely found in contemporary horror magazines, suggesting a refreshing originality in Hill’s writing. The story emphasizes the often-overlooked pains of everyday existence, contrasting sharply with the genre's typical focus on shocking imagery. Carroll reflects on a nostalgia for narratives that delve into the ordinary aspects of life, showcasing Hill's ability to bridge the gap between heartfelt storytelling and the horror genre.