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In desperate need of money for his newly opened mental asylum, Dr. Cylus Pine begins work with a producer of a reality show to use his facility for the basis of a brand new show that airs for 24 hours. When things go horribly wrong, Dr. Pine begins to wonder if its scripted or not.

Architect Paul Dial creates his most famous building in Ava, Missouri. Its the first building his brother didn't help him with and its the building Paul murders a woman in. He is sent to Dr. Cylus Pine's facility moments after the end of PROGENY for a very specific reason. While there, he begins to unravel all the work Maguire, Elissa, Lester, Charlie have made. And in doing so, reveals a secret connection with one of them. What is Dr. Pine hiding about his facility that Paul Dial knows? Will Dr. Pine lose his own grip on reality? The life and death fall are not just for the patients, even...