Spawn Vol 1 #188

At the exact moment of Al Simmons' death, a young man wakes up in a hospital after years in a coma. Dubbed Patient 47, he is told his name is Jim Downing, but has no memory of his previous life. While disturbing visions haunt Jim, the attending doctors marvel at the supernatural pace of his recovery. A young nurse, Sara, confesses that she has prayed over Jim nightly, hoping God would send her a sign by healing him. A trio of detectives wonders why a prominent attorney took his own life, and a mysterious intermediary makes arrangements for a super-powered thug to abduct Patient 47. The "Extractor" bursts through the hospital wall, knocking Sarah unconscious. In the melee, the hospital is set on fire. As emergency services evacuate the building, the Extractor corners Jim. Under stress, a dark power dwelling inside of Jim manifests itself and vaporizes his attacker. Later, a dazed Jim stumbles out of the building and collapses. In the aftermath of the hospital fire, confusion reigns as patients are relocated to other facilities. Meanwhile, the Clown begins to set his plan in motion. Sara lets Jim crash at her place, and as he tries to piece together what happened at the hospital, the dark power welling inside him makes itself known once again.