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Sara Linton, working as a doctor in Atlanta, is starting to piece her life together. But when a wounded young woman is brought into the emergency room, she finds herself drawn back into a world of terror. When Special Agent Will Trent returns to the scene of the accident, he stumbles on a torture chamber. Sara's patient is just the first victim of a sick, sadistic killer and Will and his partner Faith Mitchell find themselves at the centre of a grisly murder hunt.