The narrator wakes up restrained in a broom closet, having been committed to Bedlam asylum by his former lover Maria Delacroix. He is brought to the filthy, overcrowded patient quarters where he learns that release is unlikely after years of neglectful treatment. After one year's confinement, the narrator has lost his sanity and breaks Nurse Prudence's neck, believing her to be his tormentor Maria, before being subdued.