A violent teen and three others kidnap a young nurse while escaping from a Texas mental institution. Pursued by a vengeful sheriff, the disturbed young man embarks on a murderous rampage that shapes him into a legendary killer known as Leather face.

An eleven-person riot squad races to an insane asylum to quell a recent inmate outbreak and hostage situation. They arrive, only to be caught off guard by a sudden barrage of insane patients. When they've finally fought off a wave, two of their squad members are missing, their communications return only static, and the doors are locked. They're trapped. They break up into three teams to track down the lost members. Strange sounds and religious iconography suggest something beyond insanity has taken over the inmates. Sure enough, a simple rescue mission quickly morphs into relentless life or death battles with possessed. When McGahey, a trained, rational hostage negotiator, discovers the ringleader of this possessed insanity is none other than his brother, it falls on him to stop nothing less than the opening of a portal to Hell.

Moth is freed on parole after spending time in prison on wrongful conviction of murder. Jailed shortly before the Bulgarian communist coup of 1944...