Haunted by both the town of Tuonela and the betrayal of Evan Stroud, medical examiner Rachel Burton tries to leave, but is brought back by the skinned body found in the woods. Others are coming to Tuonela, drawn to the legend of the Pale Immortal, the so-called vampire whose exhumed body is now on display. And others will die.

As Evan succumbs to madness, those around him will suspect the worst of him. But nothing he is rumored to be will compare to the one who has been awakened...