The narrator is an ex-action hero and movie star, Michael McKnight, who was convicted of killing his wife and committed to a mental hospital as criminally insane. He does not remember killing her or anything else about that time, and they keep him so doped up he can barely function. When he wakes up and finds all the staff and a number of the patients gone he has no idea what happened until an orderly wanders in and eats the only other patient he has seen.

Michael meets Kate, a psychiatrist and some of her patients as he tries to escape the hospital. They get out together only to be confronted with the reality that the dead are walking and trying to kill them. Michael is having flashbacks and is sure that they are a way to redeem himself by saving the world, or maybe he really is crazy and its all a delusion.

The zombies are gross, the infection is fast, and the world is being devastated quickly. The only thing that really annoyed me about this was that it seemed to end so abruptly. I know there is another book but it could have given a better lead in for it. Still good though!