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The film centers on a repressed ICU nurse (Ashmore) volunteering as a reader for a recovering coma patient (Dillahunt), the prime suspect in the savage murders of six young women in a small southwestern town. The suspect's wife (Mitchell), refusing to believe that her husband is the killer, struggles with the mounting complexities of the investigation. With a dedicated detective (Schram) trying to solve the mystery before more bodies turn up, numerous other suspects take the case on a spiraling journey.