Ephraim Cutler has blood on his hands and a hellhound on his trail.
When his mother forces him to kill an innocent man, Ephraim Cutler’s quiet life in the Appalachian Mountains is thrown into turmoil. With a bounty on his head, Ephraim flees to the hills and hollers, where he discovers that his crime has drawn more than the law’s attention – the Devil’s in town with his eye on Ephraim’s soul. Desperate to escape, Ephraim is torn between two clashing figures: an outcast granny doctor rumored to be a witch – and the local preacher. As the line between grim reality and the supernatural disappears, Death rides the ridgetops on a pale horse, and the Devil’s hound haunts the backwoods. Ephraim must decide who to trust, evade the hangman’s noose, and find redemption.