Terry (Josh Lucas) is a struggling single father, abandoned by his wife years earlier, who prides himself on taking good care of his young daughter. His life is finally looking up after he recently received a successful heart transplant, and he is even falling in love with a beautiful doctor (Lena Headey). But then the headaches start. And the visions. The new heart inside Terry seems to be beating to a horrifying drummer of its own. Haunted by its violent past, the heart begins to take hold of Terry, leading the young father on a frantic and harrowing search to find the donor's killer before he meets a similar fate.

Michael Cuesta (L.I.E., 12 and Holding) crafts an unsettling psychological thriller, inspired by the classic Edgar Allan Poe horror story and creatively adapted by Dave Callaham. This chilling tale marks Cuesta's first collaboration with notable directors/producers Ridley and Tony Scott, who produced the film. The combination of Cuesta's firm hand and intense pacing, Terry Stacey's rich and moody cinematography, a twisting plot, and solid performances by Lucas and Brian Cox is enough to get an audience's blood pumping.