The game received highly positive reviews upon release, and is retrospectively considered to be among the best downloadable content packs on record. It also shows Johnny's perspective in the diamond storyline depicted in both Grand Theft Auto IV and The Ballad of Gay Tony. The main storyline of the episode focuses on Johnny's efforts to keep the chapter running, while dealing with internal conflicts, gang warfare, drug running, and various enemies. Set concurrently with the events of Grand Theft Auto IV and The Ballad of Gay Tony, The Lost and Damned follows the exploits of Johnny Klebitz, vice-president of the Liberty City chapter of The Lost MC, a motorcycle club which, along with himself, feature in a number of missions in both games. Microsoft added Episodes from Liberty City to its backwards compatibility list for Xbox One platforms in February 2017.

The package also includes the second Grand Theft Auto IV expansion, The Ballad of Gay Tony, and does not require the base game to be played. The game was released individually for the Xbox 360 on 17 February 2009, and as part of the disc-based package Grand Theft Auto: Episodes from Liberty City for PlayStation 3 and Microsoft Windows on 13 April 2010. It is the third expansion pack in the Grand Theft Auto series (the first one since 1999's Grand Theft Auto: London 1961), and the twelfth installment overall. Grand Theft Auto IV: The Lost and Damned is the first of two episodic expansion packs of the 2008 video game Grand Theft Auto IV, developed by Rockstar North and published by Rockstar Games.

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