The plot takes place chronologically prior to the previous installment, with the story centering around an abducted six-year-old boy (List) who is forced to bear witness to the crimes of a madman (Rickaby) for five whole gruesome years.

Martin Bristol, a young boy with congenital analgesia, is kidnapped by psychotic and bereaved serial killer Graham Sutter.

At an abandoned slaughterhouse once operated by his family, Graham cuts Martin's cheek before butchering a captive young woman in front of him.

Martin attempts to escape, but Graham catches him and returns him to the slaughterhouse, where he continues to hold the boy and future female victims captive.

Over the next five years, Graham brutally butchers several young women, forcing Martin to watch as the trauma slowly desensitizes him.

Graham, who feels guilt over killing the cattle he cared for at the slaughterhouse, talks and argues with the skull of a bull hung on the wall, apparently seeing it, and numerous others like it, around the property as some kind of mighty deity.

It is strongly implied that Graham was abused by his father and eventually murdered him, keeping his corpse concealed under a sheet in the attic.

After the death of her parents, young Allison Miller comes to live with her paternal uncle Jonathan, her aunt Karen, and her cousin Wendy in Minersville, the same town where Graham commits his crimes.

Graham has become fearful of Martin because of his inability to feel pain, and pins his hand to the kitchen table with a knife to prevent him from leaving the slaughterhouse.

Appearing as victims of Graham are Marissa Guill as the first young woman killed before Martin and Shannon Lambert-Ryan as Lucy, the corpse Allison finds in the freezer.

"[8] Dread Central's Steve Barton gave the film a 3 out of 5 stars and said, "Fans of Malevolence will most likely eat this one up because it truly plays like one person's nightmarish descent into a world of total madness.