New York public relations agent Holly Parker (Kristen Miller) just broke up with her boyfriend, restauranteur David Kray (Todd Babcock) after he has a one-night stand with Holly's roommate and rival work colleague Jan Lambert (Brooke Burns). Consequently, Holly wishes to find a new apartment with a new roommate, a single white female just like herself. After interviewing several non-fits, Holly finally clicks with the rather dowdy nurse Tess Kositch (Allison Lange). At first, the two women get along well, with Tess trying hard to be Holly's friend and Holly helping Tess to dress more stylishly. However, it becomes alarming when Tess cuts and dyes her hair to be identical to Holly's style and is found frequenting an underground sex club. When Holly decides to reconcile with David and tells Tess that she's going to move out is when things really turn from bad to worse.
Single White Female: The Psycho is an unrelated sequel to Single White Female (1992) (1992) which was based on the novel SWF Seeks Same (later retitled Single White Female) (1990) by American mystery writer John Lutz. The screenplay for SWF: The Psycho was written by Glenn Hobart and Andy Hurst.
When Detective Rousch (Rif Hutton) learns that a high concentration of Demerol was found in David's blood, he begins to doubt Tess' story, but when he goes to her hospital room to speak with her, Tess is missing. Meanwhile at the apartment, Holly opens the suitcase stored under Tess' bed, and finds several newspaper clippings and death notices as well as a photo of David. She searches the storage locker in the basement and discovers Jan's body stuffed into a trunk. She rushes back up to the apartment to make a phone call, but Tess has cut the phone line and is waiting for her with a knife. Tess offers to take away Holly's pain on the condition that they commit suicide together. She makes Holly get into the bathrub, but Holly turns the knife on Tess, stabbing her. Holly runs to the elevator just as Rousch exits it. Tess knocks out Rousch, and Holly picks up Rousch's gun and shoots Tess. 'I love you,' Tess says with her dying breath. In the final sscene, Holly and David are looking at a new apartment together. Holly peeks into the bathroom and notices a razor blade on the sink. She picks it up and hears Tess saying, 'You saw it in my eyes, didn't you...that moment of understanding.' Holly drops the razor blade and turns to David. Taking a glance back at the blade, Holly says, 'Let's take it.'
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