Shot in six cities along the Trans-Siberian railway and utilising intimate interviews about current Russian life, this documentary features deeply personal and moving accounts from activists and non-activists alike. The film follows queer Irish filmmaker Paul Rice and his boyfriend Liam, as they go undercover armed only with two cameras, to meet with the many heroic members of the LGBTQ+ community who risk their lives living authentically under oppressive laws and prejudices, from Nobel Peace prize nominees and international activists to drag queen performers thriving in remote Siberia.

A Worm in the Heart is a never before seen collection of emotionally driven stories captured on their journey that poignantly document the current state of the Russian LGBTQ+ community.