Five years after Derry and Suwannee survived the events in Hertley’s Swamp, trouble finds them once more. Spirit-Mother has awakened and brought Michael back from the dead. He insists on completing the sacrifice he failed to make. In an attempt to save Suwannee one more time, Derry races toward the swamp.
He’s not alone. Cole, Xade, Carrie, and Rosie are with him after they fight their way out of the possessed mental institution. They survived the hospital, and now they have to survive the journey down the river to Hertley’s Swamp, where it all began.
With enemies both human and more than human on their tail, Derry realizes some of his new allies aren’t all they seem to be. Spirit-Mother speaks to some of them, whispering dark promises into weak minds.
Derry finally finds Suwannee, but along with her comes the truth that he may have to do something horrible to stop Spirit-Mother. Will have the strength to make his own sacrifice for the sake of everyone left alive?