Megumi is dead and a burial is held for her. Doctor Ozaki is shocked at her sudden death and requests permission to perform an autopsy to determine the exact cause of her death but Megumi's father refuses.

Later two more villagers die suddenly. Growing concerned about so many deaths happen in a short space of time Ozaki contacts the head monk Seishin. Together they discover that ten people have died in the month of August alone. Ozaki fears that the village is in the clutches of an epidemic.

Seishin talks to the relatives of the recently deceased and discovers the pattern that all of them became ill and weak only a few days before they died and that many quit their jobs before becoming ill. He also learns that many families have suddenly picked up moved in the middle of the night without telling anyone.

Tooru dies suddenly, and at the funeral Natsuno and Masao get in an argument that ends with Masao running home crying complaining about how no one appreciates him. Arriving at his home he sees a white figure go around back. Following him he finds nothing, as he opens the backdoor the tree above him rustles with movement.

Natsuno, Kaori and Akira dig up Megumi’s grave to confirm if she has truly risen or not. Finding her coffin empty Kaori is suddenly attack by a strange man whose body is as cold as a corpse. Later unbeknownst to them Natsuno’s parents are visited by a strange girl who asks to be let into the house.

Natsuno house is visited by a strange young girl who demands to be invited in. When Natsuno returns home his parents tell him about the girl but she is gone. Realizing that his parents have given permission to the vampire to enter his house at any time he prepares for them to come for him. Sure that it will be Megumi who comes for him he his shocked to his core when he sees who has come for him.

Natsuno may be dead but will he rise? Dr. Ozaki discovers that his wife is already in the final stages of having her blood drained. After she flat lines during the night he tells everyone that he will take care of her, but how does one take care of a dead person?

Dr. Ozaki tries to tell the townspeople the truth but is laughed off by the villagers believing that he is overworked at the clinic. He then tries to gather evidence to inform the outside world of what is occurring only to find that the Shiki have taken control of the local government and have altered all records so that no one has died in the town on paper. Demoralized and exhausted Dr. Ozaki smokes outside his clinic when Natsuno appears and tells him that he is not alone.

Seishin finds that his bed ridden father has disappeared without a trace. Kaori shows up at the temple covered in dirt her hair and eyes crazed with desperation and begs Seishin to give her last rights so that she will be ready when Megumi comes to kill her like the rest of her family.

Dr. Ozaki methodically prepares stakes when nurse Ritsuko calls claiming that one of the other nurses Kiyomi called saying someone had kidnapped her. Dr. Ozaki rushes to stop Ritsuko from leaving the safety of her house.

With the village finally believing Dr. Ozaki about the Shiki they begin to plan on how to exterminate them. Sunako hearing about Chizuro’s death orders Tatsumi to prepare the Shiki to finish off the village by killing or turning the bitten on the survivors.