Piercing offers a glimpse into the mind of a man living on the edge. Kawashima Masayuki is a successful graphic designer in Tokyo, with a seemingly perfect life alongside his loving wife, Yoko, and their baby girl. However, beneath this veneer of happiness lurks a darker reality. Every night, while his wife sleeps, Kawashima watches over the baby's crib with an ice pick in his hand, battling a visceral desire to use it. This nightly struggle leads him to confront his demons, setting into motion an uncontrollable chain of events that seems to lead inexorably to murder.

The story is a follow-up to In the Miso Soup, cementing Ryū Murakami's reputation as a master of the psycho thriller genre. Piercing is both terrifying and utterly gripping, a cult favorite that explores the depths of human psychology and the consequences of past traumas.