卢米斯(米洛·文堤米利亚 Milo Ventimiglia 饰)、雷克斯(Billy Slaughter 饰)、莎拉(Nicole Oppermann 饰)三个年轻人偶然得到一款名为《生存》的游戏,该游戏以15世纪欧洲臭名昭著的“血腥贵妇”伊丽莎白·巴瑟(Elizabeth Bathory)为蓝本,其制作精良,惊悚非常。在试玩过程中,奇怪的声响和事情接连出现,三人更先后离奇死亡。 葬礼后,卢米斯的妹妹艾玛将《生存》游戏交给哥哥生前最好的朋友霍奇(约翰·福斯特 Jon Foster 饰)。霍奇聚集一种电玩好友,一同体验这款卢米斯最后玩过的游戏。随着游戏的进行,霍奇等人发现这是一款真正的死亡游戏,所有的参与者都面临着死亡的结局。而他们已经身陷其中,无法逃离了……Loomis Crowley is testing the underground game Stay Alive with his friends Sarah and Rex. When the game is over, Loomis finds Rex and Sarah dead in their room, and he is pushed by a shadow from the staircase, breaking the banister and hanging the same way he died in the game. Loomis' sister, Emma, gives his game to his best friend, Hutch. They, and his friends Miller, Phineus with his sister October, Swink and Abigail play the game together. When Miller and Phineus die the same way they died in the game, the survivors disclose that the game is based on the life of the evil Countess Elizabeth Bathory. She was buried alive in the tower of her real state in the Geronge Plantation. With the police chasing them, and after the death of October, the survivors reach the house and try to find the corpse of the Countess to destroy her fiend.
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