Thirty-five years later, the adult Evan Jr. (now nicknamed "Dr. Giggles" for his hideous laugh and insatiable obsession to follow in his father's footsteps) escapes from a mental asylum, killing everyone in his path. In Moorehigh, 19-year-old Jennifer Campbell, her boyfriend Max Anderson, and their friends are planning their summer break. Jennifer, already upset by family trouble, is further distressed from having a heart condition and being forced to wear a heart monitor. Dr. Giggles returns to his childhood home, goes through Evan Sr.'s files, and gathers a list of names. He begins stalking and killing several residents, including Jennifer's friends.