The plot revolves around Hush’s return to destroy Batman. It's simple, but it works. He sets up a clinic, drugging the homeless into servitude. He captures and removes Catwoman’s heart as a bargaining chip against Batman and even surgically alters his face to resemble Bruce Wayne, intent on luring Batman and using his visage to destroy his alter ego's life as well as Batman's. Cutting back and forth is Hush’s backstory as Tommy Elliot. He orchestrated the death of his parents, but thanks to Bruce's father, Thomas Wayne, his mother survived. His mother, insecure about her own status, constantly chastises Hush to be more like Bruce Wayne, driving Hush into an increasingly psychotic obsession. He really nails the flashbacks and what drives Hush. Interestingly enough, it shows Scarecrow as Hush’s mentor, having met when Hush was a child, now conclusively making Dr Crane older than Bruce Wayne.
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