In 1891, in the aftermath of the Wounded Knee Massacre, awful nightmares and bizarre killing sprees shake the uneasy peace between a frontier town of White Pine and the Lakota on the nearby reservation.

A pioneer doctor named Charles Zimmerman finds himself at the forefront of the investigation and uncovers a crawling horror the likes of which he could not imagine.

With the help an orphaned farm girl, a smart-mouth stage robber, a beaten down Lakota warrior, a beautiful medicine woman, and Charles’ estranged father, the aging town marshal, Charles must save not only the town of White Pine but also the starving Lakota from an ancient, hungry evil.