Grazia is a free-spirited mother-of-three married to shy fisherman Pietro and living on the idyllic but isolated island of Lampedusa in the Mediterranean Sea. She shows signs of manic depressive behavior — one moment she's laughing wildly and swimming half-naked in the sea, while the next she's curled in a ball on her bed. Out of her earshot, the adult members of her extended family vaguely discuss sending her to a facility of some sort in Northern Italy.

Inspired to a true story, on November 5th 1991, Rita Atria a young 17-year-old Sicilian girl, goes to see an anti-Mafia judge Paolo Borsellino to denounce the Mafia system that was responsible for the murder of her father and her brother. It is the first time that such a young woman from a Mafia family rebels and betrays the Mafia. From that moment on, Rita's days are numbered. She only has nine months to live...

David begins experiencing cloudy memories of a long-lost life amidst the violent Cortello family in Sicily, a family he ultimately betrayed. And the wages of sin are deadly.