Kilson was a delusional criminal who imagined hearing voices and for a time was incarcerated in Arkham Asylum. At some point after his escape in Arkham mass breakout that occured during Ra's al Ghul's and the Scarecrow's reign of fear, the Joker found him and offered to remove the voices, "replacing them with bright lights, like Christmas", which in reality, was the Joker making arrangements for Kilson to have a cell phone surgically implanted just under the skin on Kilson's abdomen.
Kilson was involved in the Joker's attack on Harvey Dent. After Batman was knocked out on the streets, Kilson touched his mask and was electrocuted. The Joker kicked Kilson and spat on him for getting electrocuted right before the GCPD rounded up the Joker and his thugs, throwing Kilson into the Joker's cell in the MCU jail.
Kilson tried to tell the police that he was suffering from convulsions. The police didn't believe him until he collapsed, then they were forced to take him out of the cell to do CPR on him, only to discover a long scar and a strange contusion on his stomach. The Joker took Gerard Stephens hostage, and demanded his one phone call. Murphy threw his cell phone to the Joker, who called the phone inplanted in Kilson. A detonation device attached to the phone was set off in a powerful explosion, tearing Kilson apart. Kilson's unknowing assistance in the Joker's escape from the jail allowed him to free Lau.