It is not based on the original novel, but rather adapted from a side story novel, Karakuri Doshi (which occurs in contemporary times).

Like the animated adaptation which preceded it, the film is much darker, more violent and sexualized than its predecessors, and deviates greatly from its source material.

[1] The film was advertised as being a direct sequel to Tokyo: The Last War going so far as to include a silhouette of actor Kyusaku Shimada in many of the promotional materials.

In 1995, a mental hospital is erected near the Japanese Ministry of Finance, located adjacent to the grave of Taira no Masakado.

A young male nurse by the name of Jin’ya Yanase is obsessed with the legend of Taira no Masakado and more importantly, the spirit of his evil subordinate Yasunori Kato.