Lady Rowena’s health takes a turn for the worse, and the narrator fears that her death is imminent. Sitting by her bed, he watches her drink a glass of wine, into which mysteriously fall, according to the narrator, three or four large drops of a red fluid. The narrator is unsure of his observations because he has recently smoked opium, to which he has become addicted during his second marriage. Three days later, Rowena dies, and on the fourth day, the narrator sits alone with her corpse but cannot keep his mind from the memories of Ligeia. Later that night, the narrator wakes to moans from Rowena’s deathbed, and he discovers that a tinge of color has returned to Rowena’s face. Rowena still lives. A second round of moans ensues, and the body reveals more color. However, the flash of life is brief, and Rowena’s body becomes icy cold again.

Faced again with memories of Ligeia, the narrator, horrified, encounters another reawakening of the corpse. This time, however, the corpse moves from its deathbed and advances, shrouded, into the middle of the apartment. Aghast, the narrator mysteriously questions the identity of the corpse. Though he feels it must be the lady Rowena, he notices the body has grown taller. Glancing from her feet to her head, the narrator discovers raven-black hair emerging from behind the shroud—it is the lady Ligeia standing in the bridal chamber.