The implausible escape of a brilliant murderess brings U.S. Marshal Teddy Daniels and his new partner to Ashecliffe Hospital, a fortress-like insane asylum located on a remote, windswept island. The woman appears to have vanished from a locked room, and there are hints of terrible deeds committed within the hospital walls. As the investigation deepens, Teddy realizes he will have to confront his own dark fears if he hopes to make it off the island alive.

Legacy created the dead bodies frozen in the ice box, the child corpses, and the burnt Michelle Williams prop.