Plagued by nightmares of torture and intense violence, a writer suffering from trauma-induced memory loss seeks to solve the mystery of his missing past. The only clue is a single page of an unfinished manuscript found in an old manual typewriter, in a fleabag motel, in a small West Virginian town called Luntville. It is here that the writer will seek answers, believing that if he finishes the book he was writing, his memories will return.

No train has run on this railroad since the end of the Civil War—a railroad built by the servitude to perfect evil—and its trusted tracks run right behind the house. Justin Collier expects his respite in Gast, Tennessee, to be relaxing if not a bit dull, but he will find out soon enough that those same train tracks once led to a place worse than Hell.

Rape. Murder. Brain-eating. Never before has a work of fiction dared to delve so deeply into the realms of perversion, sexual dementia, and bad taste. Who is he? What is he? An inbred homicidal pervert? A supernatural psychopath? Who or whatever he is, he's on a roll now, raging out of the Virginia backwoods and leaving in his wake a trail of blood, guts, and disgust far beyond the limits of your reckoning.

Crick City is a small hick town. Violent, mean, and dirt-poor, it's a place nobody wants to call home. But for homicide cop Phil Straker, it is home. And now someone—or something—is turning his boyhood town into a bloody sideshow of mutilation and gruesome carnage. They're called Creekers. Centuries old, driven by rage and lust for revenge, they move through the deep, dark woods—deformed, shadowy outcasts with twisted faces and blood red eyes. Now, as the moon hangs low over their ancient house, they're gathering for a harvest of terror and death Crick City will never forget....

After the loss of a child along with a slew of agonizing misfortunes, Nick and Jess decide to end their lives. Unable to cope with the misery that fills their days, they commit one last act together and die in loving relief. But when Nick wakes up, he soon realizes that death isn't the gentle darkness he expected. Panicked and horrified, he struggles to understand the twisted abominations and hellish world he's now trapped in.