Scott Bowman is now a respected psychiatrist living the good life, but sixteen years ago he and his friends accidentally committed a terrible crime. The group swore itself to secrecy and everyone's mouth was sealed out of guilt. None suspected that there had been another present to remember their crime. A creepy new addition to Scott’s roster of patients at the local psychiatry ward proves to be more than a helpless, mad old man with a talent for drawing. Lurking behind the man’s eerily realistic drawings is a soul driven by twisted passions and malignant anger, creating the nightmarish visions on paper. These soon draw the doctor into a dark world of freak accidents and horrifying deaths. In a final and deadly confrontation with an old hatred, Scott Bowman is driven to confront the most dangerous edges of sanity, where reality is indistinguishable from imagination.