Through round after round of extensive plastic surgery and vigorous maintenance, Ririko has become the absolute manifestation of beauty, and becomes a wildly successful model, actress, and singer. However, soon, her body, unable to withstand the burdens of surgery, begins to crumble, and along with it so does her mind, as she plummets towards a frightening and inevitable end.

Helter Skelter won the 2003 excellence prize at the Japanese Media Arts Festival, and the 2004 Osamu Tezuka Culture Prize.