The narrator approaches the literal house of Usher, and it is explained that he is visiting his childhood friend, who has written to him, wishing for his company in dire times of sickness and depression.
The narrator enters the mansion and meets Rodrick Usher, who reveals that his sister Madeline is dying. The sister later does just that, and Usher sadly puts her in a coffin that he puts in a storage in the wall. It is briefly mentioned that her cheeks still have the Rosy has the color that they held in life.
During a storm in the night, Usher becomes frightened and runs to the Narrator. In an attempt to comfort Usher, the narrator begins to read, but as he does, he begins to hear scraping and thumping.
As the sounds become louder, Usher reveals that he has heard sounds from his sister's coffin, and he fears that he has mistaken her for dead and buried her alive. The sounds continue to come closer and closer until Madeline bursts through the door with blood on her.
Madeline leaps upon Roderick and dies. Roderick also dies, likely from shock and fear. The narrator flees the house.
As the narrator leaves the house, it collapses behind him, leaving both the figurative and literal house of Usher in ruins, only a memory.