Murder and extreme violence are at crisis levels in Montego Bay. The city is also the birthplace and centre of the lottery scamming industry and its offshoots, an industry that generates millions of U.S. dollars a year, and is thought to be connected to the high murder and shooting rates in St. James. This study considers the purported nexus between lottery scamming, gangs, and the high murder rate in St. James by situating St. James’ violence problem in its socio-economic context, and reviews the measures that have been taken over the past decade to tackle both problems.