Prologue A
Blackfeet man named Ricky, who long ago fled his reservation and now works in North Dakota, leaves a bar and finds an
elk stumbling into several cars in the parking lot, damaging them. Ricky is caught outside with the damaged cars by the white bar-goers, and chased by them into a field, where he sees the reflections of the eyes of a herd of elk. Ricky is beaten to death.
The House That Ran Red Lewis, one of Ricky's childhood friends, has likewise moved off their reservation and married a white woman named Peta. One night, while fixing an overhead fan light, Lewis sees the image of a dead elk on the floor below and almost falls to his death, saved by Peta at the last moment. To Peta and his coworker Shaney, a
Crow woman, Lewis shamefully recounts an incident in his adolescence, where Lewis, Ricky, and their friends Gabe and Cass pursued a herd of elk into the elders' section of the reservation, where they were not legally or traditionally allowed to hunt, and shot many unsuspecting elk. Lewis is disturbed that one of the shot elk, a young female, has not died, and shoots her several more times before discovering that she is pregnant. After burying the fetus, he commits to using every portion of the mother elk and giving her meat away to the elders, but the four are stopped at their truck by the game warden and forced to dispose of the elk. Lewis and Peta's dog is found hanged by its tether in an apparent accident, still alive. They try to nurse the dog back to health, but find the dog brutally stomped to death one morning by someone wearing a pair of boots they keep in their garage. Plagued by paranoia that the elk from his adolescence has returned for revenge, Lewis becomes suspicious of Shaney's behavior, and is convinced she is the embodiment of the elk spirit. He invites her over and engineers an accident with his motorcycle that brutally kills her. Peta returns home, oblivious, and goes to fix the ceiling fan light. Lewis startles her, causing her to fall and fatally hit her head. He pulls both women's teeth to look for ivory as proof that they are elk, and, noticing that Peta appears to be pregnant, cuts her open. An elk calf emerges from her body. Lewis takes the calf and goes on the run, hoping to return it to the reservation and end the curse, but is shot to death by police before he can make it there. The elk spirit, seeking to avenge the deaths of her and her calf at the hands of Lewis and his friends, slips away and assumes a rapidly aging human form. Now looking like a teenage girl, she hitchhikes her way to the reservation.
Sweat Lodge Massacre Cass and Gabe, who still live on the reservation, are preparing for a
sweat lodge ceremony hosted by Cass. Gabe, now an alcoholic absentee father, stops to see his daughter Denorah before her basketball game later that day. They make a bet over Denorah's free throws, which she wins. Cass and Gabe begin the sweat with Nathan Yellow Tail, the son of local cop Victor Yellow Tail. While they are in the sweat lodge, Victor is attacked by the elk spirit. Cass briefly leaves the lodge, wondering where Victor is, and meets his girlfriend Jo, who has returned home early from work. She needs the money Cass has been saving in a Thermos in his fixer-upper truck to visit a relative; it turns out that Shaney was her cousin. Later, Gabe leaves the lodge to pee and finds Cass's dogs, stomped to death; he mercy-kills the final dog with a rock. Thinking that the dogs must have been trampled by horses, Gabe decides not to tell Cass and returns to the sweat, picking up an old Thermos to use as a water scoop. However, Cass recognizes the Thermos as the one he had left in his truck. Believing that Gabe stole the money, and finding his dogs dead outside, Cass starts a fight with Gabe. Gabe rocks Cass' fixer-upper truck off its cinderblocks, unaware that Jo is hiding underneath, crushing and killing her. Cass attempts to shoot Gabe, but instead hits what appears to be Denorah, and in his guilt allows Gabe to beat him to death. Gabe discovers that Cass had actually shot Nathan, and they are approached by the elk spirit, who agrees to spare Denorah if Gabe kills himself. However, once Gabe does so, she acknowledges that she plans to kill Denorah regardless, as Denorah is Gabe's "calf".
It Came From the Rez Denorah arrives to collect her winnings from the bet, and meets the elk headed woman, now disguised as Shaney, who has hidden the bodies from the night before. The elk spirit tells Denorah the men are out on the horses, and challenges her to an intense game of basketball. Eventually the elk spirit is unable to hide her nature any more due to her injuries, and transforms into an elk-headed figure with the body of a woman, beginning a long pursuit of Denorah through the snowy reservation. Denorah encounters Nathan, wounded on one of the horses, and sends him back to town to alert her stepfather. At the end of her endurance, Denorah stumbles into the site of the elk massacre from her father's youth. The elk headed woman catches up to her but becomes preoccupied with the site where Lewis buried her calf fetus. She digs into the soil, and her calf emerges from the ground, still alive. Denorah's stepfather, Denny, the same game warden that interrupted her father's hunt years before, arrives to save her, but Denorah stops him from killing the elk headed woman and her calf, ending the cycle. The elk spirit sheds her humanity, and retreats into the wilderness as an elk again with her calf. It is implied that Denorah will go on to become a star basketball player. == Themes ==