A serial killer is terrorizing members of the medical community in Buffalo, NY. Veteran Detective, Rhody Richardson, is leading the investigation with his partner, Detective Wayne. Victims have been disfigured and tortured - faces sliced, numbers carved into their chests. The brilliant, but young, forensic intern, Connor Patrick, tries desperately to make sense of the numbers but cannot find a pattern.

The killer has promised ten victims, but Richardson, and psychiatric consultant Dr. Kaileen Taylor believe it will continue well past that number. At each of the gruesome crime scenes, the killer has left cryptic poems with different names. Richardson ventures down a dangerous path, deciphering what the killer is trying to tell them before they escape justice into the eternal void of the unknown.