After the massacre in the forest of West Virginia, reality show contestant Kimberly is driving through the West Virginia backcountry searching for the location of her next project. While driving, she accidentally hits a teenager. She stops to help him, but he turns out to be an inbred cannibal, who bites her lips off. She attempts to escape but runs into Three Finger, who splits her in half with his axe before he and the cannibal Brother drag her body halves away.
Former U.S. Marine Colonel Dale Murphy is hosting a survival reality game show, The Apocalypse: Ultimate Survivalist, in production at the West Virginia forest. With Kimberly’s unknown absence, the show’s producer Mara reluctantly takes her place to participate in the show with the other contestants: lesbian Iraq war veteran Amber, lingerie model Elena, former football player Jake, skateboarder Jonesy, and graphic artist Nina.
As the game starts, Three Finger and another mutant cannibal Pa murder the television crew and abduct Dale. Mara finishes a task and then enters a cabin to find a telephone as Nina follows her. While looking around the cabin, they hear the occupants return and hide in a bedroom. Mara and Nina witness a female cannibal, Ma, giving birth to a deformed baby. Her daughter, Sister, spots them in the bedroom, forcing the two to escape through the toilet pit.
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