The new content has no soundtrack (the only music in the film is during the reused flashback footage), and the video quality is markedly poor, a constant whirring of the machinery being audible.

[1] Due to budget cuts, an asylum for the criminally insane releases the infamous Ethel Janowski, a morbidly obese woman whose obsession with food caused her to murder six people 13 years earlier, into a halfway house operated by the elderly Hope Bartholomew.

As soon as Ethel is admitted into the Bartholomew House, it becomes clear that she is still delusional, convinced that Hope is her dead grandmother, and that a fellow patient named Edgar Stanley is the detective who arrested her.

Ethel proceeds to murder the remaining resident (a man who believed he was an insect) and one of the institution doctors when he drops by to see why his calls to the halfway house have not been getting through.

Bill Gibron of DVD Talk awarded the film a score of 2/5, and wrote, "While there is some enjoyment to be had in revisiting a favorite fiend, Criminally Insane 2 is nothing more than a novelty.