Edward Lee's cult classic novella comes to the screen in this shocking tale of revenge and retribution set against the foreboding backwoods of West Virginia. Stewart Cummings (Jake Suffian) is a jaded ATF agent struggling to earn enough money to cover the pricy prescriptions required to keep his sickly girlfriend Kathy from lapsing into ill health. When the cost of Kathy's medications begins to outstrip Stewart's earnings, he begins running narcotics across the county line for a dealer named Dutch just to pay the bills. Meanwhile, country bumpkin ex-con Travis Clyde Tuckton returns home to live with his handicapped grandpap Jake Martin (Dick Mullaney), who has lived alone ever since Travis' mother perished at the hands of a rival family. In their world, families have been feuding for generations, and Jake Martin encourages Travis to seek vengeance for his mother's death. When it comes to revenge, these mountain folks have their own unique method of meting out justice - an unspeakably perverse method that combines sexual gratification with profane desecration. As Stewart's life begins spiraling into an immoral, self-destructive vortex of soul-scarring violence and Travis succumbs to his most primitive instincts, the two men's lives collide with such violent force that it creates a virtual hell on earth.