 Kirsty Cotten (Ashley Laurence) is now grown up and married to Trevor Gooden (Dean Winters). Her memory of the events that took place back at her parent s home and the mental institution have dimmed, but she is still traumatized. One fateful day, the two get into a fatal car crash, killing Kirsty. Now, Trevor finds himself in a strange world full of sexy women, greed and murder, making him believe he may be in hell. He follows the clues all the way to Pinhead (Doug Bradley).