In the shadow of the Catskill Mountains, an iconic musician and former drummer for The Band, Levon Helm, takes center stage in his own life narrative, but not in the way most rock documentaries unfold. Struggling with the aftermath of a vocal cord cancer diagnosis that once threatened to silence his storied career forever, Helm is seen fighting to regain his voice and restore his health. The film intimately captures his daily life, blending personal challenges with the pursuit of artistic rejuvenation. Amid the bucolic peace of his Woodstock home, Helm opens up about his life, sharing stories of the past while stubbornly looking forward to the future, his spirit undimmed by the trials he faces.

The documentary dives deep into the rehearsal space, famously known as "The Barn," where Helm and his band rehearse for the Midnight Ramble sessions - intimate live performances that have garnered a cult following. These sessions are more than just concerts; they are a testament to Helm's determination to keep playing music, against all odds. In parallel, candid moments with friends, family, and fellow musicians reveal the layers of influence Helm has had on American music and culture. As the film progresses, it weaves together the personal and professional, showing how Helm's resilience in the face of adversity not only defines his character but also shapes his legacy in the music world.