Where the Dead Lay Above the Ground is a brutally violent tale of three cousins, Sarah, Ethan, and Aiden, who fled their violent New Orleans mob families during the chaos of Hurricane Katrina and tried to start normal, quiet lives on the docks of small-town Connecticut. When the youngest, Sarah, is diagnosed with cancer five years later, their peaceful lives are shattered, forcing Ethan and Aiden back into the bloody depths of criminal underworld, only for them to descend to a new Hell where every ounce of good in their souls will be sacrificed in a hopeless bid to save her.