Kristy Cotton is in a psychiatric hospital reliving the hellish events pertaining to a certain puzzle box that contains deadly spirits. Dr. Channard, her psychiatrist, has long been fascinated with the dark secrets of this legendary box and is ecstatic when he successfully re-animates Julia, Kristy's murderous step-mother, by feeding her the blood of a chronically disturbed patient. In exchange for her flesh, Julia gives the obsessed doctor a revelation into the secrets beyond space and time. Meanwhile, Kristy has a vision of her skinned father who writes a message in his own blood to entreat her help in rescuing him from the eternal torment of the merciless Cenobites.

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