Two friends in Mexico discover the Lament Configuration and unleash Pinhead, but one decides to try to survive by swapping himself with someone else. Once they go missing, family members go in search of them, but find Pinhead instead.
| Actor | Role |
|---|---|
 Steven BrandDr. Ross Craven | Dr. Ross Craven |
 Nick EversmanSteven Craven | Steven Craven |
 Tracey FairawayEmma Craven | Emma Craven |
 Devon SorvariSarah Craven | Sarah Craven |
 Stephan Smith CollinsPinhead | Pinhead |
 Fred TatasciorePinhead (voice) | Pinhead (voice) |
 Jay GillespieNico Bradley / Pseudo Pinhead | Nico Bradley / Pseudo Pinhead |
 Sebastien RobertsPeter Bradley | Peter Bradley |
 Sanny van HeterenKate Bradley | Kate Bradley |
 Daniel BuranVagrant | Vagrant |
 Jolene AndersenFemale Chatterer | Female Chatterer |
 Adel Marie RuizMexican Girl | Mexican Girl |
 Sue Ann PienHooker / Skinned Face Girl #1 | Hooker / Skinned Face Girl #1 |
| CCamelia DeeStreet Walker | Street Walker |