It's been two decades since the late Ed Harley (Lance Henriksen) last conjured up the demonic avenger known as the Pumpkinhead. So when the citizens of a small Southern village discover the town's physician (Doug Bradley) has been selling their loved ones' organs and dumping the bodies in a swamp, they ask the old witch Haggis, to invoke the demons wrath and avenge their desecrated kin. Summoned from the mummified remains of Ed Harley himself, the creature proceeds to wreak havoc upon any and all who get in his way. After twenty years in limbo, Pumpkinhead has finally returned to settle the score.