Spawn passes Vickie through that reality and is soon ready to enter the human dimension. He makes his way to a certain point in the alleys (probably the spot he first returned from hell) and then blows off his head. Meanwhile, a man under the name Jim Downing, who is without his memories and is healing (unusually fast) at a hospital, wakes up. He seems to know Spawn, as he was thinking about him before his awakening. A janitor tries to make money off Jim's story and calls a lawyer. The lawyer then calls someone else and tells the janitor not to go to the papers, after which the lawyer commits suicide. Soon, a thug is paid to capture Jim. While he is talking to a nurse who prayed for his recovery, the thug attacks with a flaming skull. Jim flees while the thug causes a massive amount of damage to the hospital. Soon, the thug catches up to Jim, but Jim transforms into Spawn, kills his attacker, then escapes the burning hospital back in human form, eventually being taken in by firefighters.