A childhood friend of Roderick Usher goes to visit him at his family mansion in his last days of life.
"I shall perish... I must perish."
Usher is on the couch when his friend walks in. His friend sees that he is mentally ill and looking very frail, and settles his things in his room.
He is so pale, frail, and changed.
Lady Madeline, Usher's twin has died from her disease. Usher and his friend leave her body in the vault in the dungeon, but hear a scream as they leave.
As a terrible storm starts up, Usher's conditions worsens. His friend reads him a story to pass the night.
Usher interrupts the story with an insane speech. Usher says that Madeline stand at the door. She is there, her clothes covered in blood as she runs to attack and kill her brother for burying her alive.
Usher's childhood friend runs from the house after he sees Roderick Usher die.