Dr. Strange living under the name Dr. Stephen Sanders had previously faked his death leaving people to think he died fighting The Beyonder. Without the aid of his talisman's destroyed in the battle with Uthroa he continues to protect the 616 dimension. After traveling the multiverse he returns to earth. To weak to travel, he is tricked into leaving his physical form traveling in astral form to aid someone who he thinks is under attack. Secretly Dormammu thought destroyed in Dr. Strange 51, has returned and is taking over his physical body. Strange is left inhabiting the body of a rat after being chased by the Bands of Cttorak and cornered in astral form.