It is a sequel to the 2017 film Axeman 2: Overkill, which was a follow-up to the 2013 film Axeman. The movie features the return of the axe-wielding local legend who terrorizes a group of people in a cabin by Cutter's Creek.

A womanizing attorney is unable to have sex after a hypnotherapy session to quit smoking goes awry and he seeks help from one of his clients, an uptight psychiatrist, who teaches him that there is more to women than just sex.