The plot pivots on a concealed injustice from thirteen years earlier: a disabled woman named Oh Eun-ah was gang-raped by three wealthy men and subsequently died. Dr. Kang Min-ho falsified the forensic autopsy report in exchange for career perks, ruling her death an overdose. Consequently, the attackers avoided punishment, leading Eun-ah's family into total ruin.
Eun-ah's brother, Lee Sung-ho, plotted a multi-layered revenge. Rather than simply killing Kang, Sung-ho abducted Kang's daughter, Kang Hye-won, the moment she arrived in South Korea. Sung-ho murdered and dismembered Hye-won into six parts, dumping her torso in the Geum River while withholding her identifying arm.
Dr. Kang spent the entirety of the film manipulating forensic evidence under the false premise that his daughter was held alive in captivity. In reality, Kang had already autopsied and dissected his own daughter's body during the opening sequence of the story. Upon discovering the missing limb containing her distinct identifier in Sung-ho's freezer, Kang realizes his actions. Overwhelmed by horror, Kang shoots Sung-ho dead and subsequently commits suicide, fulfilling Sung-ho's ultimate design.