Dr. Satan did not appear in the sequel. Rob Zombie said he felt uncomfortable having him in the film, saying that the character would seem too out of place given the drastically different tone of the two movies. However Dr. Satan did appear in deleted scenes. According to Rob Zombie's commentary on the DVD, he was wounded in the opening shootout and was taken away to a hospital. (Doctor Satan is apparently in the ambulance during the opening scenes.) A nurse (played by Rosario Dawson) checks the doctor, now in a coma, when suddenly he awakes, grabs her throat and brutally tears it open before collapsing back onto the bed and possibly dying.