Police officers raid a house in Poughkeepsie, New York, where they discover over 800 videotapes created by serial killer Edward Carver,[a] which present a visual record of his murders from the abduction to the post-mortem mutilation of the victim.

Despite the volume of evidence, Carver is careful not to be shown on film unless fully disguised, leading to police and law enforcement beginning an investigation into the whereabouts of both him and his victims.

He then performs a C-section on the woman, placing the severed head of her husband inside her womb before sewing her up, waking her, and filming her reaction.

Carver shows himself in the CCTV footage of another gas station, using sign language to reveal the location of the bodies.

He murders and mutilates her boyfriend Tim and imprisons her in his basement, abusing her sexually, physically, and psychologically as his "slave".

With his crimes gaining a rising level of attention, Carver changes his MO and begins targeting prostitutes while posing as a policeman; he is dubbed the "Water Street Butcher".

The police investigating the murders are led to officer James Foley, who has a history of hiring prostitutes, is mentioned in eyewitness statements, has no alibi, and has matching sperm samples.

Michael Gingold of Rue Morgue called the film "a creepy yet frustrating experience", criticizing it for not giving enough "insight into the reasons why [the villain] brutalized and slew his victims".

"[3] Michele "Izzy" Galgana of Screen Anarchy called it "definitely not a film for everyone, particularly those who have a low threshold for violence and torture.