AllMovie

The ghosts of Kayako and Toshio return to spread terror as the Grudge saga continues in this sequel featuring Saw star Shawnee Smith. Jake (Matthew Knight) may have survived the previous supernatural onslaught, though the sheer terror of his harrowing ordeal has rendered him nearly insane. Hospitalized, Jake is haunted by visions of his ghostly attackers as his caretaker Dr. Sullivan (Smith) sets out to investigate his incredible tales. In the midst of exploring Jake's Chicago home, Dr. Sullivan discovers that Kayako and Toshio have targeted a new family. Should Dr. Sullivan fail in convincing a mysterious Japanese woman to help in banishing the vengeful spirits, everyone involved faces a fate worse than death.