Kirsty Cotton (Ashley Laurence) is now grown up and married to Trevor Gooden (Dean Winters). Her memory of the events that took place back at her father's home and the Channard Institute have dimmed, but she is still traumatized by the looming spectre of the demonic Pinhead. 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 the one in hell. The more he investigates, the more he discovers that all clues lead to Pinhead-- and the Lament Configuration puzzle box that, when opened, creates a doorway to hell.

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