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The film opens with long flashbacks to the dreadful original: crazy Suzanne Oliver (Shauna O'Bryan) has sex in a shower with a man, then breaks his neck with her bare hands and murders a secretary, framing her roommate Debra (Landon Hall) for her crimes because Debra led on her lesbian sister until she committed suicide 15 years before. As the sequel gets underway, Suzanne is trying to get released from a mental facility, so she has to agree with her insane psychiatrist, Dr. Sterling (Robert Donavan), to reunite with Debra. Debra has lots of nightmares and flashbacks and rejects the idea, while Suzanne has her own flashback to her experiences in a women's prison, where there is a gratuitous and implausible catfight between several women and a new prisoner. Later, Debra gives in and agrees to meet Suzanne after learning that Suzanne had been stalking her for longer than she had suspected and sleeping with several of her men. Eventually, the crazed Sterling has sex with Suzanne over a desk and on the floor, stabs Debra's brother, and kidnaps Debra for some forced therapy with his new lover. Screenwriter Sean O'Bannon also penned the original Escort, as well as The Masseuse 2, The Masseuse 3, Maximum Revenge, and Fugitive Rage.