個性閉塞內向的希尼克，從小就立志想當醫生，但卻怎麼樣也考不上醫學院，在第五次落榜之後，他應徵上地方醫院的行政助理工作，主治醫師正好是當初的主考官之一。隨著醫院工作的漸漸上手，希尼克也開始與幾名病人熟稔起來，禁不住一名老人的苦苦哀求，出於同情的他偷偷替老人注射針劑自殺，但事後卻發現，老人根本已經痊癒，一切不過是老人尋求安慰的技倆，掙扎於驚訝、擔心與內疚的心理糾結，再加上對醫生的嫉妒和自卑心結，希尼克反而從此展開他的死亡事業，一個接一個，送大家早登極樂世界…。
        影片根據震驚捷克社會的連續殺人事件改編而成，看似內向無害的平凡青年，卻默默的殺人無數，隱藏在殺意的背後，或許其實是整個社會的扭曲變形。導演丹史維塔克在片中運用了大量的廣角魚眼鏡頭，營造出獨特的變形世界，青綠慘白的冷色調設計，也讓整個醫院彷彿鬼域般悽慘陰森，成為異質化的存在空間，在死亡與生存之間來回擺盪，獨特的東歐影像風格，展現出另一種對死亡的恐懼與耽溺。
        Hynek Michánek wants to study medicine but fails his entrance exams five times. He starts a job as an orderly in a district hospital where one of the doctors on the examining board works as well. He feels no-one takes him seriously and he loathes the doctors, who treat him with disdain. When an old man begs him to end his pain and suffering by helping him to die, Hynek gives him a "liberating" injection. But now he has done it once, he finds he can't stop. He continues killing other patients, even though he knows he can't get away with it for long.