When the husband dies of a sudden heart attack, his wife, left handcuffed to the bed without the key and with little hope of rescue, must find a way to survive, all while battling her inner demons.

While Gerald takes Viagra, Jessie offers raw steak to a stray dog before her husband leads her to the bedroom, leaving the door to the house open.

The hallucinations trigger her to remember a glass of water Gerald left on the shelf above the bed, which she manages to reach, rolling the price tag from her slip into a drinking straw.

Determined to escape, Jessie breaks the water glass and cuts her wrist, lubricating the cuff with her own blood and degloving her hand to slip free.

Using Gerald’s life insurance to start a foundation for fellow victims of sexual abuse, she is haunted by nightly visions of the Moonlight Man, and is disturbed that the police search of the lake house never recovered her ring.

News reports reveal that the Moonlight Man is actually Raymond Andrew Joubert, a necrophiliac grave robber and serial killer with acromegaly who has finally been caught; he mutilated Gerald’s body for his collection of grisly trophies, but spared Jessie.

On May 19, 2014, Deadline Hollywood reported that Mike Flanagan had been set to direct a film adaptation of Stephen King's suspense thriller novel Gerald's Game, scripted by Jeff Howard.

[3] Carla Gugino and Bruce Greenwood were cast to play Jessie and Gerald Burlingame, along with Henry Thomas, Carel Struycken, Kate Siegel, and Chiara Aurelia.