In the film, Eliza Dushku plays Megan Paige, a Rochester, NY police investigator whose commitment to the job borders on obsession. Megan and her partner Lt. Kenneth Shine (Cary Elwes) are assigned to investigate the brutal murder of a young girl named Carla Castillo, whose body is found in the nearby town of Churchville. Despite Megan’s considerable efforts, her inability to catch the killer leads to a nervous breakdown.
Two years later, Megan is back at the police department, albeit in a demoted position. With the help of a mental illness support group headed by Richard Ledge (Timothy Hutton), Megan is slowly getting her life back on track. But when two more young girls are murdered with the “alphabet” m.o., Megan is convinced the same serial killer has resurfaced. Fighting hallucinations of the dead girls – as well as distrust from her colleagues – Megan is back on the case, determined to bring the culprit to justice. With few leads, no suspects and a serial killer on the loose, can she catch the “Alphabet Killer” before another victim is found?