the first movie be pretty good . this one be pretty bad . recycle a lot of footage ( include the opening credit and end title ) from criminally insane . the new footage and shot on video and really stick out a poorly do . scene lack proper lighting and the sound be sometimes nearly inaudible and there even video glitch like the picture rolling and so on . like all bad sequel and it basically just repeat the story of the first one . ethel kill everybody who share her living space and often for reason have to do with them get in the way of food she want . at least it be only an extra on the dvd for the first one and which also include the same director film satan black wedding . too bad it doesn not include the death nurse movie though .