Madness Returns takes place eleven years after the events of its predecessor. Alice was released from Rutledge Asylum for the Wayward and Lost Souls at the end of the original game, and now lives in Victorian London under the care of a psychiatrist, where the traumatic memories of her parents' deaths in a fire continue to haunt her. Source: Wikipedia, "http://en.wikipedia.org/wiki/Alice:_Madness_Returns," available under the CC-BY-SA License.