Sue Ann is a loner who keeps to herself in her quiet Ohio town. One day, she is asked by Maggie, a new teenager in town, to buy some booze for her and her friends, and Sue Ann sees the chance to make some unsuspecting, if younger, friends of her own.

Following the events of the first film, Sue Ann now resides in the Pacific Northwest, working as a real estate agent, when her murderous past as “Ma” comes violently back to the surface.