- Kirsty is brought to an institution after the horrible events of Hellraiser (1987), where the occult-obsessive head doctor resurrects Julia and unleashes the Cenobites and their demonic underworld.
- Doctor Channard is sent a new patient, a girl warning of the terrible creatures that have destroyed her family, Cenobites who offer the most intense sensations of pleasure and pain. But Channard has been searching for the doorway to Hell for years, and Kirsty must follow him to save her father and witness the power struggles among the newly damned.—David Carroll <davidc@atom.ansto.gov.au>
- The head of a psychiatric prison who meddles with a satanic puzzle cube unleashes a cabal of pain-seeking demons who terrorise his daughter. The girl must find a way to solve the puzzle and force the demons back to hell after a series of victims fall victim to the cube's power.—Keith Loh <loh@sfu.ca>
- After having her father and perverse stepmother killed by the cenobites, Kirsty Cotton is sent to a psychiatric hospital. Even after trying to convince the authorities of what really happened with her family, nobody believes in her version of the history and they decide to place her in the institute, so that she rests and relaxes a little bit. The hospital is commanded by a brilliant and strange psychiatrist, Dr. Channard, who has been looking for the key for another dimension for a long time. The only person who believes in Kirsty is a young and kind assistant of Dr. Channard, called Kyle MacRae. Following Kirsty's version of the story, Channard put his hands on the bloodstained mattress where her stepmother Júlia died, Channard decides to resurrect her, killing his patients and offering them as food for Júlia. She returns without skin, and she decides to help Channard to bring the forces of the evil, but the plans of the two will be disturbed by Kirsty, who wants to end at once with the cenobites, and for Kyle, who doesn't want to see Kirsty being hurt...—Ary Luiz Dalazen Jr. <ajr@fortalnet.com.br>
- The movie opens with Captain Elliott Spencer (Doug Bradley) playing with the Lament Configuration box, only to have it send him to Hell and transform him to the Cenobite "Pinhead". Flash forward to the present, where Kirsty Cotton (Ashley Laurence) has been remanded to the Channard Institute, a psychiatric hospital, and is questioned by Homicide Detective Bronson (Angus MacInnes). After the police search the house where her father, Larry, her stepmother Julia and her uncle, Frank, all died, they stumble upon the bloody mattress Julia had died upon (from the first film) and bag it as evidence. Kirsty meets Dr. Phillip Channard (Kenneth Cranham) and his assistant Kyle MacRae (William Hope) and she tells her story. Before leaving, Kirsty begs Bronson to burn the mattress as it is the only means of bringing Julia back from Hell. Channard talks to Bronson privately.
During her first night, Kirsty has trouble falling asleep when she comes across a young girl named Tiffany (Imogen Boorman), institutionalized for six months and who has a knack for solving puzzles. Kirsty continues to hear voices and receives a bloody message written on the wall from a skinless human whom she believes is her father: "I AM IN HELL. HELP ME." Kirsty explains the entire story to Channard after she expresses to Kyle that her father may still be alive.
Channard steals the mattress and takes it to his home. Kyle sneaks to his house to find that Channard is obsessed with the Lament Configuration box and the portal to Hell. Kyle watches from behind a curtain as Channard brings back a masochistic patient from the ward, handing him a straight razor. The patient slashes himself several times, bleeding onto the mattress. After a few moments, a skinless body emerges from the mattress, draining the patient. The body in the mattress is actually Julia, whom Channard is trying to resurrect with the promise of learning about the afterlife. Channard hides Julia in his attic and brings her more victims, binding them to the ceiling so Julia can drain them of their blood and reconstruct her body. After a few victims, she has much of her skin back.
Kyle informs Kirsty about what he saw and that he now believes her. They go to Channard's house together, as Kirsty finds a picture of Spencer before he'd become Pinhead. Kyle runs into Julia: at first he has no idea who she is. Julia locks herself with Kyle in Channard's attic, where the corpses of Julia's victims hang rotting. Julia approaches him and envelopes him with her arms. Weak-willed and unable to resist her charms, Kyle then he realizes she is the skinless, monstrous thing that destroyed the mental patient on the mattress. Kyle panics and tries to escape, but Julia's grip prevents him from doing so. Julia makes as if she's kissing Kyle, and works him through a process of sucking him dry. Julia and Kirsty finally meet again, and Julia smacks Kirsty as Channard brings another patient: Tiffany.
Tiffany is not to be another of Julia's victims, but is merely being used to open the puzzle box so Channard can experience Hell. The tunnels of Hell are opened and the Cenobites are released, but Pinhead stops the others from killing Tiffany; he notes that it is not merely her solution to the box that opened the gateway, but Channard's. Channard and Julia have both entered the tunnels themselves and begin to explore. Kirsty wakes up and, after seeing what has happened, heads for Hell with the box. When she arrives there, Pinhead finds her and changes the configuration of the box into a long, diamond shape that appears unsolvable. Kirsty takes the puzzle with her, seeking Tiffany to solve it.
Julia introduces Channard to the box's realm, which is a series of pathways that form a strange maze. Leviathan, the god of the realm, represented by a much larger version of the puzzle box in the diamond configuration rotates at the center of the maze, sending black beams that cover the entire maze. Channard sees the horror of Leviathan's Hell and realizes it's beyond his comprehension. When he tries to leave, Julia forces him into a much larger version of the box, where he endures unimaginable pain when his face is strung with wires and organic injection devices fill him with hideous fluids. He emerges from the box some time later, now a Cenobite and seemingly pleased by his new form. A large, slimy tentacle painfully grips the top of his head and becomes his new means of mobility.
Kirsty eventually finds Tiffany, and they both try to find an exit. Kirsty sees her father's house, and runs in thinking her father might be inside, but it turns out to be Frank. He is the one who sent Kirsty the message, wanting Kirsty to join him. Frank presides over his own chamber of Hell where shrouded women taunt him, never allowing him any pleasure from them. He tries to attack Kirsty and she responds by starting a fire in the chamber, which also engulfs Frank, burning off his flesh. Julia enters with Tiffany, and Frank invites her to kiss him. Julia betrays him, ripping his heart out -- her revenge for Frank killing her. Kirsty and Tiffany escape the room. The girls try escape the maze but Julia catches them and grabs onto Tiffany. In the ensuing scuffle, Julia's flesh is torn whole from her body and she's blown down the tunnel as she screams, dropping the box.
Kirsty and Tiffany make their escape back to the hospital, but the Channard Cenobite finds them and gives chase again. Kirsty encounters Pinhead, Butterball, Chatter, and the Female Cenobite. Kirsty gives Pinhead the picture of Elliot Spencer and reminds them that they were all human at one time, until the pain and pleasure of the box overwhelmed them. Channard arrives to capture Tiffany, while the remaining Cenobites all choose to protect Kirsty. Channard kills all the Cenobites (reverting them back to human form), using strange tentacles with sharp blades and turns Pinhead's face into Elliot. Elliot smiles at Kirsty and allows her to escape before succumbing to his death when Channard slits Elliot's throat.
Tiffany decides to go back into Hell and finish what was started. Kirsty follows her, but understands that it's all a puzzle. Tiffany attempts to solve the puzzle, but Channard interferes and attacks both girls. Kirsty retreats. As Channard stalks Tiffany, Julia reappears and distracts him with a kiss, long enough for Tiffany to solve the puzzle. As he tries to kill Tiffany, Channard's tentacles become embedded in the floor and his mobility tentacle rips the top of his head off at the jaw. Tiffany falls over the edge, but Julia catches her and pulls her up (but not before it is revealed that Kirsty has disguised herself in Julia's skin). Both of them escape back to the hospital as the portal closes and they both leave the hospital.
Some time later, two movers arrive to pack up all of Channard's belongings before one notices the bloodied mattress. It kills him as the second mover enters the room. A wooden pillar covered with bits of flesh hanging from hooks and chains rises up and spins around, showing the near-dead Cenobite Pinhead screaming (Geoffrey Portass) as well as "Skinless" Julia, before stopping. The last head (Little John) is revealed to be the same man from the first film, who ends the movie by asking: "What is your pleasure, sir?" (the similar line the first film ends with).
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