Gabriel was born to a 15-year-old Serena May after she was raped by another man, but he was a parasitic twin that shared a brain with Emily along with developed arms. Due to their appearance, Serena gave the children over to the hands of the Simion Research Hospital. Through some unknown means, Gabriel developed supernatural abilities such as control over electricity. However, he was also violent and antisocial. This ultimately forced Dr. Florence Weaver, John Gregory, and Victor Fields to perform a surgery to remove Gabriel from his sister.
Gabriel massacres several faculty members before being reprimanded and the operation was initiated. While they were able to remove most of Gabriel's body from Emily, whatever was left of him was locked away in the back of her head. After getting adopted by Jeanne, Emily was told that Gabriel was her imaginary friend anytime she would speak with him telepathically.
Gabriel, still determined to keep control over his host, tries to telepathically force Emily (now renamed Madison) to commit vile acts such as killing Sydney when she was still in her mother's womb, but she is able to restrain herself from performing the deed. From there, Gabriel became dormant and forgotten.
28 years later, after suffering two years of miscarriages, Madison gets into a fight with her husband Derek leading to him pushing her into the wall inadvertently awakening Gabriel due to the impact. While Madison locks herself in her bedroom and sleeps, Derek is brutally murdered by Gabriel, and she discovers his body the next day after having a vision of someone breaking into her house to murder Derek. She was then attacked by the assailant.
Regaining consciousness in the hospital, Sydney informs her adopted sister that her unborn baby did not survive the attack. Meanwhile, Gabriel abducts a woman when she was hosting the Seattle Underground Tour and imprisons her in some dark place.
More strange murders happen with Madison receiving vivid visions of them, such as Dr. Florence Weaver being stabbed multiple times by the sharpened blade of a broken award, Gabriel savagely killing Fields was he was sleeping, and Gregory is found by police detectives Kekoa Shaw and Regina Moss when Madison explains her psychic link to the killer.
It is revealed that the woman Gabriel kidnapped was Serena, and that she was actually trapped in Madison's attic. As such, Madison is incriminated for the string of murders and is taken to the police department. Madison is placed in a women's holding cell and brutally beaten by several of the inmates, which inadvertently triggers Gabriel. Gabriel massacres all the women inside, escapes from the cell and kills several police officers.
After Sydney returns from confronting Jeanne about Madison's connection to Gabriel, she heads over to the hospital realizing that Gabriel was going to kill Serena next. Reaching the hospital, Gabriel throws a patient's bed at Sydney, trapping her under it. It is also revealed that Gabriel was the reason for the miscarriages Madison suffered: he fed off the fetuses to replenish himself until he was strong enough to break out. As he was preparing to finally kill Sydney, Serena tries to convince him that she truly did love him and that she was wrong to give him away. He seemed to consider it for a brief moment before Kekoa comes in to shoot him. Enraged, Gabriel shoots Sydney in the head and then attempts to smother Serena by pinching her nose.
However, it then turns out that Madison had learned how to control her mind, now regaining control of her body. Gabriel threatens her to say that he would return someday to which she tells him that she will be ready for him and locks him away in a subconscious jail cell.
Locker Room Body #1 - Killed offscreen (Body found)
Locker Room Body #2 - Killed offscreen (Body found)
Locker Room Body #3 - Killed offscreen (Body found)
Cop by Door #1 - Stabbed, slashed
Cop by Door #2 - Stabbed, slashed
Cop by Door #3- Stabbed, slashed
Precinct Cop #1 - Stabbed, friendly fire
Precinct Cop #2 - Stabbed, friendly fire
Precinct Cop #3 - Stabbed, friendly fire
Precinct Cop #4 - Stabbed, friendly fire
Precinct Cop #5 - Stabbed, friendly fire
Precinct Cop #6 - Stabbed, friendly fire
Hallway Body #1 - Killed offscreen (Body found)
Hallway Body #2 - Killed offscreen (Body found)
Precinct Cop #7 - Stabbed, slashed
Precinct Cop #8 - Stabbed, slashed
Precinct Cop #9 - Stabbed, slashed
Precinct Cop #10 - Stabbed, slashed
Precinct Cop #11 - Stabbed, slashed
Precinct Cop #12 - Stabbed, slashed
Precinct Cop #13 - Stabbed, slashed
Hospital Security Guard - Pacemaker exploded
Non-counted Deaths:
Police Detective - Arms broken by Gabriel
Sydney Lake - Shot in head (hallucination)
Serena May - Suffocated (hallucination)
Kekoa Shaw - Fate Unknown
Trivia[]
Gabriel's voice actor, Ray Chase, was a finalist in Best Supporting Performer at the 2022 Dead Meat Horror Awards. Ray Chase himself also cameos as the character in the "To the Numbers" segment of the Malignant KC.
