Content Warning: This text contains depictions of domestic abuse, medical violence, alcoholism, attempted death by suicide, and medical conditions such as severe burns, which may be disturbing to some readers. Additionally, the text mentions instances of sexual abuse, though not in detail.

On October 3, 2003, Charles “Charlie” Cullen drives to work at Somerset Medical Center in New Jersey. He has impressive credentials and 16 years of experience, as well as dozens of complaints, and he has attempted to die by suicide multiple times. Despite these considerations, he has a near-perfect professional record, and coworkers like him because of his willingness to pick up extra shifts. He arrives at work, excited for the night shift ahead.

Charlie’s younger years were difficult. His father died during Charlie’s infancy, and his family lived in poverty. Many of his siblings struggled with drug addiction. His mother died during his senior year of high school. He subsequently attempted to die by suicide, joined the Navy, and eventually started nursing school. He was the only male nursing student in his year and was elected class president. Charlie worked his way through school, picking up shifts at various franchises, where he met his first wife, Adrianne.