WWE Wrestler Randy Orton portrays Nick Malloy, an Emergency Medical Technician (EMT) who finds himself caught in a deadly 12-round game of cat and mouse with a vigilante tied to the paramedic's past. With little time to spare and his wife's life hanging in the balance, the EMT must figure out why he's been chosen to be the pawn in this maniac's game before it's too late.

For people who don't believe the events of .Grave Encounters, film student Alex Wright is out to prove them wrong. Alex is as obsessed with the first film as the 20 million people who viewed its viral trailer on YouTube. While he and his friends research the events and visit the real psychiatric hospital depicted in the original film, they find themselves face-to-face with unspeakable evil, banking on the hope that their knowledge of the original film will help them survive the sequel.