The video features a brown and white puppy with a pink nose and closed eyes, lying on a black couch. The puppy appears to be sleeping or resting. The video includes text overlays that read "You could just tell he was the runt of the litter," "Then the next day was when we just noticed," and "he was declining like crazy." The text suggests that the puppy was initially smaller than the others in its litter, but later started to decline in health.