Seven years ago, psychiatrist Ellen Smith interviewed vicious serial killer Roger Taut. Now retired, Ellen is horrified to learn that Roger has escaped. The local police force enlists her help and asks her to join the homicide task force on Roger's tail. Ellen knows Roger must be caught before he has a chance to kill again.
Detectives Dan Kape and Jim Masker are also part of the task force, and they're beginning to believe there's a link between Roger's victims and the River Edge Mental Institution from where he escaped. The entire police department is horrified when Ellen goes missing, apparently taken by the serial killer.
As she is held hostage, the case unravels when she looks into the cold eyes of the person that assisted this killing machine to freedom. While the police desperately search for the good doctor, Ellen learns more and more about the killer who holds her life in his hands. But Roger's not finished; Ellen is just the beginning of his horrific plan.