Kakihara is a yakuza hitman and a sadistic character. Following the death of his boss, he scours Tokyo's underworld to find the culprit. In the process, Kakihara, known for his sadistic tendencies, crosses paths with Ichi, a mentally unstable and extremely violent killer. The bloodbath caused by Ichi attracts Kakihara's attention and the events turn into a bloody confrontation.
As the film pulls the audience into the dark and bloody atmosphere of the underworld, it draws attention to the psychological states of Kakihara and Ichi and how these conditions transformed them into ruthless killers. The viewers get a chance to see the dimensions of violence and moral decay as they delve into the characters' inner worlds.
The film was shot in Tokyo's underworld, and these locations played a major role in heightening the dark atmosphere and tension in the film.