The students are participating in a wrestling championship; they include Todd (Derek Magyer) and his girlfriend Alex (Thora Birch), Sheldon (Kavan Reece), Claire (Gloria Votsis), and young assistant coach Willy (Gideon Emery).

At the station, a woman named Dr. Velislava (Koina Ruseva) approaches and explains that train tickets are normally purchased after one has boarded.

Alex and Willy are caught by the doctor; they realize all the other passengers are transplant patients, and tourists are being harvested for organs.

The passengers (including Alex) watch the platoon take Claire (who, to judge by her screams, is being sexually assaulted) as the train pulls away.

Alex, disguised, sneaks off into the building, and soon finds Willy, horribly injured but still alive, chained to a bed.

In the morning, Alex leaves Willy behind briefly, but then from a distance she sees him brutally murdered by the torturers from the hospital.

Alex kills each of her torturers, douses the train with gasoline and sets it ablaze, and decouples the last car, which slows to a stop.

Alex escapes down the tracks, and in the last scene, we see her some time later, about to enter a wrestling match with grim confidence.

[3] In the United States it was released first with its NC-17 cut (the highest age classification in the USA) in October at the Screamfest Festival according to the website Bloody Disgusting.