Pat McNab, driven by rage and despair, goes on a rampage after killing his mother and ends up murdering more than fifty people. Or is his whiskey-addled mind merely imagining these murders?

Reality collides with fantasy with dizzying impact as Pat reflects on the long-gone days with Mommy, while fending off the persistent interferences of his small-town neighbors: the puritanical Mrs. Tubridy; that irascible seller of turf, the Turf Man; Sgt. "Kojak" Foley, and other unwanted snoops who could soon come to regret their inquisitive, nose-poking ways....