In 1995, a hiker's vanishing in the remote mountains of Oregon sparks speculation about a virus linked to the region's wildlife. During a hunting trip in the area, a young Blake Lovell and his stern father Grady spot a mysterious humanoid creature lurking in the forest and hide in an elevated hunting blind.
Thirty years later, Blake lives in San Francisco with his daughter Ginger and workaholic wife Charlotte. Like his now-estranged father, he struggles to control his temper, causing a strain on his marriage. One day, he receives a death certificate for Grady, who went missing, and the keys to his childhood home. He decides to vacation there, in an attempt to repair his relationship with Charlotte.
Seeking directions, they encounter a local, Derek, who leads them to the house as the sun sets. Before they arrive, a creature drives them off the road, scratches Blake's arm, and drags Derek away. Blake frantically leads his family to the house, turning on the generator and barricading the entrance to protect them from the monster outside. With his arm bloody and infected, Blake starts to show signs of illness: losing teeth, sweating profusely, and experiencing noise sensitivity. Hearing the creature, he puts his ear to a side door only for the monster to grab his foot through the pet door and injure him further before Charlotte stops it by hitting it with a hammer.
Charlotte grows increasingly worried as Blake loses some motor functions and his ability to speak and understand her. His hair starts to fall out, as do more teeth and fingernails, with fangs and claws growing out, and his vision becomes distorted. Fur grows on his body, and to fight the pain in his arm, Blake gnaws on it like an animal, frightening her. She spots a run-down truck outside and manages to jump-start it. Before the family can drive away, the creature smashes the windshield, forcing them to seek shelter atop a greenhouse. Blake signals Charlotte to take Ginger back to the house and runs in the opposite direction to make the monster follow him.
Moments later, a limping and more deformed Blake returns. He vomits a severed finger and menacingly approaches Charlotte, scaring her and Ginger. Realizing the danger he puts them in, he prepares to leave, but the creature finds its way in and attacks them. Blake puts himself between the monster and his family, and in the struggle, he bites the creature's neck and kills it. Recognizing a tattoo on its arm, Blake realizes the monster is his infected father. He runs outside, the final stages of his werewolf transformation taking hold. Unable to control himself, he attacks his family, who flee to a nearby barn.
Blake claws his way in, using his newfound night vision to sneak towards them in the dark, but is caught by a beartrap that Charlotte laid down. He chews off his ensnared foot and continues pursuing as Charlotte and Ginger flee to the surrounding forest and hide in a hunting blind as the sun rises. Blake climbs up, and Charlotte points a rifle at him. Realizing Blake is in pain and wants to die, the family shares a final look as Blake lunges and Charlotte fatally shoots him. They comfort a dying Blake before walking out of the forest, taking in the beauty of a valley he once described seeing as a child.