The video shows a panorama of disturbing images relating to Sadako's past, but also possibly relating to the viewer. The video is not completely in black-and-white, but most images are, feature black and white as the predominant colours. The first scene is a shot of Ikuma Heihachiro looking down at Sadako from the top of the well she was thrown into. There is then a shot of Shizuko Yamamura combing her hair in a mirror and Sadako walking in on her (Shizuko's mirror briefly disappears and one showing Sadako appears, then Shizuko reappears looking towards Sadako). Then, a newspaper article about Shizuko predicting the eruption of Mount Mihara appears, but the kanji float about and only the word 'eruption' is stable. There is then a shot of people crawling on the floor and apparently dying. The next shot is odd, somewhat paradoxical and may have been intended more for Reiko Asakawa than other viewers of the tape.
It appears to be a shot of Ryuji Takayama standing in the sea, but there is a towel covering his face and he is pointing at something. This image is odd because Ryuji takes this form after his death, which occurs after Reiko watches the tape, although the image is already on the tape. Next there is a close-up of Sadako's eye, with the kanji for sada (part of her name, meaning chaste) reflected in it. Last, there is a shot of the well which Sadako was thrown into. This part of the video seems to extend itself at times; when Reiko first watches the video nothing happens to the well, but when she watches it again, Sadako's arm comes out of it. When Yoichi Arasawa, her son, is seen watching it, Sadako's other arm emerges from the well as she begins to pull herself up. Lastly, when Sadako comes to kill Ryuji (and presumably her other victims), the scene plays on the nearest TV (whether the video is in it or not) and Sadako completely emerges from the well, slowly walks towards the screen and proceeds to crawl out of the TV.
Throughout the video a number of unearthly sounds play. It is unknown what makes these sounds, but they are very unnerving.