The "sematary" is up to its old zombie-raising tricks again. This time, the protagonists are Jeff Matthews, whose mother died in a Hollywood stage accident, and Drew Gilbert, a boy coping with an abusive stepfather.

Twisted tale about a crazy, preaching redneck named Jake who kidnaps people off the highway and performs sick medical experiments on them. He then proceeds to sell their organs on the black market to Mr. Stone. Everything is fine until he kidnaps the handicapped April and finds that she is harder to control than the others.

Duane recovers from his delusional breakdown to find his freakish basket-bound brother Belial will soon become a father. But not everything is joyous as the once tight knit brothers no longer seem to trust each other.