This collection consists of a bound, handwritten, and illustrated memoir, written by W. J. Worsham, recording the history of the Old 19th Tennessee Regiment of the Confederate States of America, which was based in Knoxville, Tennessee. The book was dedicated in 1902 to the survivors and fallen soldiers of the regiment, according to a written note from the author.

The beginning of the book discusses the location and organization of the regiment, including officers and companies. The remainder of the book is primarily a first-person narrative where the author describes his experience being in this regiment during the Civil War as they traveled and fought in battles. An appendix lists a general report of the regiment and officers, describing what became of them, including casualties.

The book is divided into twenty-five chapters, and each page is titled and dated. There are also some illustrations, mostly maps indicating battle locations and strategies, as well as related photographs and cut-out images. Casualties are listed after many of the battles' descriptions, and notes in the margins and on paper inserts supplement the main text for clarification.