For her first day of orientation, Dr. Tristian Mackenzie makes her way to the Silverdale Psychiatric Hospital for the criminally insane, where she learns of the strange series of cases from the similarly strange Dr. Moon.
Following the tragic and unexplained death of her parents, Emily joins a group of friends during a secluded trip gathering in the woods. The group uncovers an old, eerie children's game known as "The Lizzie Borden Game".