In the wilderness near Minneapolis, a bound and battered pregnant woman is stabbed and stomped to death by a hillbilly named Drake, who drags her body away.

Taking pity on the two men, the girls offer them a ride, and the quartet leave, not realizing they were being watched by a one-eyed, Swedish-speaking man, who uses a walkie-talkie to report what he has seen to his comrades.

One-eye takes Chad and Tara back to the house, and forces them listen over a walkie talkie as Drake drowns Jenna.

Afterward, Chad breaks the chair he is tied to, suffocates the elderly member of the hillbilly clan left to watch them, and frees Tara.

In a post-credits scene set six months later, another Swedish survivalist snipes a young girl and her mother at the gas station.

[1] HorrorNews.net found Madness awkward, unoriginal and inconsistent, but admitted there were enough good elements (such as the effects and finale) to warrant a viewing, and concluded its review by saying "there are certainly worse options out there to stomach".