In her many years as a social worker, Emily Jenkins believes she has seen it all, until she meets 10-year-old Lilith and the girl's cruel parents. Emily's worst fears are confirmed when the parents try to harm the child, and so Emily assumes custody of Lilith while she looks for a foster family. However, Emily soon finds that dark forces surround the seemingly innocent girl, and the more she tries to protect Lilith, the more horrors she encounters.

After losing their baby, a married couple adopt 9-year old Esther, who may not be as innocent as she seems.

Rose Da Silva takes her adopted daughter, Sharon, to the town of Silent Hill in an attempt to cure her of her ailment. After a violent car crash, Sharon disappears and Rose begins a horrific journey to get her back.