The tragic story of Howard Unruh could easily be mistaken for the account of any recent mass killing—a seemingly ordinary individual, plagued by inner demons, suddenly unleashing unfathomable violence upon a community, leaving devastation in their wake. Yet, this tale predates the modern era of mass shootings, marking a chilling moment in American history. On September 6, 1949, Howard Unruh’s rampage became a grim chapter in American history. Seventy-five years have passed since that fateful day, but the pain and loss he inflicted remain deeply felt, especially by the families of those whose lives were tragically cut short. Among them were 37-year-old Helen (Matlack) Wilson, her mother-in-law Emma (Houser) Matlack, and her young son John Wilson. They had just stopped at a traffic light after returning from a shopping trip in Camden when Unruh, who had been crossing the street in front of them, turned and fired on them. Helen and Emma were killed instantly, while young John, though initially surviving the attack, succumbed to his injuries later that day at the hospital. Helen, the great-great-granddaughter of Mary (Sawn) Stow, was part of a family with deep roots in the area, making the tragedy even more poignant for those who knew her. Unruh, a decorated World War II veteran, was deeply scarred by his experiences overseas. However, it was his return to civilian life that seemed to unravel his sanity. He became increasingly paranoid and isolated, perceiving slights and insults in the mundane interactions of everyday life. His meticulously planned attack was a horrific response to these perceived wrongs, and it would go down in history as the first mass murder in modern-day America. The killings shocked the nation at the time, marking the beginning of what would for current generations become an all-too-familiar narrative in the United States—one of mass shootings carried out by disturbed individuals. The tragedy on River Road in Camden, though distinct from today’s mass murders, shares underlying themes of alienation, mental illness, and the devastating impact of unchecked violence. Howard Unruh’s methodical actions were driven by a distorted sense of justice, leading to the senseless loss of Helen, Emma, young John Wilson and other victims. Unruh’s rampage serves as a stark reminder of the darkness that can reside within even the most unassuming individuals. As we remember the victims of America’s first modern mass murder on September 6th, we honor their memory and reflect on the lasting impact of one man’s decision to unleash chaos. The shadows of that day still loom large, a sobering reminder of the devastating consequences when unchecked mental illness and alienation turn into violence.