Returning to the same medical school where they were test subjects years before, two twisted serial killers use brutal sex acts to kill off a group of med students.
Killjoy is back in the fourth installment of the demonic clown series. This time Killjoy is being accused of not being evil, since he let one of his victims(Sandie) get away. Killjoy must rely on his only chance of proving how evil he really is... get Sandie into hell as his witness.
