The title is based on the magazine "True Confessions" that contained articles on personal confessions, was targeted at young women readers and was first published by Fawcett Publications in 1922. With a cover price of 25 cents, the front cover of the October, 1922, issue heralded, "Our Thousand Dollar Prize Winner-'All Hell Broke Loose'." During the 1920s, Jack Smalley was the editor, and early issues in the run sometimes featured cover illustrations by Norman Saunders.