In a sleepy southern town, the Larkin family suffers a terrible tragedy. Now the Larkin's are about to endure another: Traffic lights blink an eerie warning, a ghostly visage prowls in the streets, and graves erupt from the local cemetery in an implacable march of terror . . . And beneath the murky surface of the river, a shifting, almost human shape slowly takes form to seek a terrible vengeance . . .

Deaf and mute since having his hearing knocked out at the age of 12, Asher has been training for almost two decades to avenge himself on Ivan, the man that killed his older brother, 21 years ago. And now that his nemesis is out of prison, he gets his chance. But Asher's target also happens to be his father.

In 1972, the patients and doctors at Stephens Sanitarium were brutally murdered. Over forty years later, the only known survivor returns only to find the ghosts of the past have not been resting in peace.