Kirsty Cotten is now grown up and married to Trevor Gooden. 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.

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