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Many loosely connected characters cross paths in this film, based on the stories of Raymond Carver. Waitress Doreen Piggot accidentally runs into a boy with her car. Soon after walking away, the child lapses into a coma. While at the hospital, the boy's grandfather tells his son, Howard, about his past affairs. Meanwhile, a baker starts harassing the family when they fail to pick up the boy's birthday cake.
Pinhead is set loose on the sinful streets of New York City to create chaos with a fresh cadre of Cenobitic kin.
In 1985, two couples' relationships dissolve amidst the backdrop of Reagan era politics, the spreading AIDS epidemic, and a rapidly changing social and political climate.