A news reporter named Joey witnesses a mysterious death caused by the lament configuration. She wants to find out more for her story. She befriends a girl named Terry, because she also witnessed the death and knows a little more about it.
J.P the night club owner invites Terry over so Pinhead can take her. Discovering the plan, she flees/ Pinhead, however, stops her, convinces her to stay and make her a cenobite. He takes J.P. instead/ Pinhead is then free.
Joey meets the ghost of Elliot Spencer, who became Pinhead when he opened the box. During the events of Hellbound: Hellraiser II a girl named Kirsty Cotten set his soul free. After his encounter with Channard, his cenobite appearance too a form of its own and it wants to take over the world.
Pinhead and Joey go face to face, as he and his cenobites chase after her. Luckily, she opens the box. Pinhead, however, manages to take it from her. As he is about to kill her, Elliot comes and merges back with Pinhead. Finally, Joey sends Pinhead back to Hell by stabbing him with a blade from the box.