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Twenty-seven long years after the brutal Simion Research Hospital incident, abused Madison wakes up in a hospital in present-day Seattle. But with numbing visions of murder getting in the way of a normal life, more and more, Madison's obscure past emerges, baffling both herself and the local detectives. Are these explicitly violent killings figments of Madison's troubled imagination? Either way, someone, or better yet, something, links the past to the present, demanding closure and blood. Is the bogeyman real?
In Ruggsville, Texas, the police under the command of Sheriff John Quincy Wydell attack the house of the sadistic serial killers Firefly family (a.k.a. The Devil's Reject) and they arrest mother Firefly, but Otis B. Driftwood and Baby Firefly escape from the siege. Tiny is wandering nearby the house and also escapes. Otis and Baby call their patriarch, the mad clown Captain Spaulding and they schedule to reunite at an isolated motel in the desert. When Otis and Baby arrive, they kidnap two families of singers, using sadism and violence against the harmless persons. Meanwhile, Sheriff Wydell promises to capture and kill the runaways, seeking revenge for the death of his brother, the Deputy George Wydell.
The film unfolds as the Horror Hound festival holds its first ever event in Louisiana, where it attracts hundreds of geeks, freaks and die-hard horror fans from far and wide. Among them is fanboy Chase and his girlfriend Laine, who is forced to come along for the ride. But as the event approaches, Laine begins to experience unexplained premonitions and disturbing visions associated with the town's past, and in particular, local legend/urban myth The Creeper. As the festival arrives and the blood-soaked entertainment builds to a frenzy, Laine believes that something unearthly has been summoned and that she is at the center of it.
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