When 18-year-old Joshua Mayo takes a man's life in a terrible accident, he leaves the scene without reporting the crime to the police. He hopes to put the awful night behind him and move on with his life. But, of course, he ends up telling his mother, Karen, what happened. Karen has raised Joshua on her own in Cedar Rapids, Iowa --- and she'd thought they'd finally made it. He was doing well in school and was only months away from starting college at his dream school. After hearing his dark confession, she's forced to make a choice no parent should have to make. A choice that draws them both into a web of deceit that will change their lives forever --- if they can make it out alive.

When Gary Foster's pregnant wife becomes gravely ill, their only hope is an experimental treatment available abroad, but the cost is out of their reach. And Beth's time is running out. That's when a strange man approaches Gary, and offers the money he needs on one condition: that he kills someone. No questions asked. Gary's choice forces him to confront the darkest reaches of his soul and betray those closest to him. And as he's swept up in a nightmare of escalating violence, he must determine just how far he's willing to go to save the woman he loves.