Nick Holland is an amputee who is unable to engage in sexual activity with his girlfriend Natalie due to his frustration with the loss of his left leg in a prior accident. Nick visits his old friend Thomas and shoots him in the head. He then removes Thomas' left leg, puts it on ice and has it transplanted to himself by his doctor overnight. Nick goes through rehabilitation and eventually becomes able to move his transplanted leg. One night, while driving with Natalie, Nick loses control of his leg which steps on the accelerator, resulting in a crash that instantly kills Natalie. As two policemen arrive on the scene, they witness Nick stab himself to death, then The Man appears and kills them both. Meanwhile, a hit list is found in Kemper's old cell, containing the names and addresses of those responsible for his capture and their relatives, including the recent victims and Neilson himself. During his confinement, Kemper had also managed to give a copy of the list to The Man.