- Three friends embark on a trip to track down Nicole and her boyfriend, and they quickly find out that the mystery is stranger and scarier than they imagined.
- The corporal Tom Hilts returns from overseas to his hometown Argyle, Texas, for a ten days leave with the intention to seek our his brother Jess, who disappeared one year ago while heading to California with his girl-friend Nicole. He travels in his truck with his girlfriend Marilyn and followed by his friend Jared in his old car to California trying to track his brother. While in the old highway California, Jared needs to stop his car in an old rest stop to go to the toilet and is attacked by the driver of a yellow truck. Meanwhile Tom and Marilyn wait for him in the next rest stop where Tom is also attacked and kidnapped by the driver of the yellow truck. Marilyn sees the ghost of Nicole in the restroom and realizes that they are facing supernatural evil forces.—Claudio Carvalho, Rio de Janeiro, Brazil
- This sequel to the first Rest Stop movie opens in the year 1972, a family in a motor home, whom include a Father (Michael Childers) a Mother (Diane Salinger) and their freakish-looking twin sons (Edmund and Gary Entin), encounter the Driver (Brionne Davis) standing on the side of the road next to the yellow pickup truck, out of gas. Once in the R.V., the mother flirts heavily with the Driver, asking Scotty (Mikey Post), her physically deformed child, to take a picture with his camera.
Later that night, the Father finds the Driver having sexual intercourse with his wife. His wife then falsely claims she is being raped and prompts her husband to attack, torture, and kill the Driver. The Driver's ghost later kills the family across the street from the rest stop.
Thirty-five years later in the present day, and one year after Jesse and Nicole disappeared. In Argyle, Texas, Jesse's brother Tom (Richard Tillman) returns from fighting in the war in Iraq. Tom decides to go looking for his brother with his girlfriend Marilyn (Jessie Ward) and one of Nicole's friends, Jared (Graham Norris), who has had a long-time crush on Nicole.
Once they get to California, the trio asks for directions from a strange gas station attendant (Steve Railsback). Jared finds a horse riding badge that belonged to Nicole, prompting Tom to demand information from the attendant, who tells them that the Old Highway is a mile up the road.
Not long afterward, Jared stops at a construction site porta-potty which the Driver rams into, covering Jared in feces causing him to strip down to his briefs. Tom and Marilyn arrive at the dreaded rest stop, where the Driver kidnaps Tom while Marilyn is using the bathroom. Marilyn sees Nicole's ghost inside the bathroom in an adjacent stall. She rushes out of the bathroom, and all signs of Tom and their truck have vanished.
As night falls, Jared changes clothes and sees Nicole's ghost as he gets in his car, which he believes is real. They then have sex while Nicole vomits blood and disappears. Jared then runs into the road and comes across the R.V. family, who gives him a ride to the rest stop. Jared relays what he knows to Marilyn, who, in turn, tells him Tom is missing. They decide to hike back to the gas station to find out everything the attendant knows.
Meanwhile, the Driver tortures Tom on the school bus, but he escapes while the Driver is gone. He searches for his brother, finding him tied up in a cage. He frees him and carries him to his truck. Jesse turns to his brother and says, "You should have saved me?" before disappearing, leaving Tom confused before heading back to the rest stop.
Marilyn and Jared learn from the attendant that the Driver is a serial killer who has been long dead and haunting this highway killing people. He tells them that they need to burn the Driver's eyeballs to put him to rest. But the Driver set a trap for them. When Jared awakes, The Driver claims, using the attendant to talk for him, that Marilyn was unfaithful to Tom and needed to be "cleansed." Jared refuses and has his right eye cut out by the Driver. Jared then gives in and uses a drill to "cleanse" Marilyn by drilling into her thighs.
Tom arrives at the gas station to find Marilyn alone. Just as day breaks, they exit the station to find the aged and abandoned motor home parked outside. Scotty tells them that the twins have the Driver's eyeballs. Tom loads up with an assault rifle he kept in his backseat to take on the Driver. Marilyn finds Jared inside the R.V. with a patch on his eye. He assists her in setting fire to the motor home, destroying it. Just before the Driver kills Tom, he disappears as the motor home explodes.
On the way home, Jared discovers a picture of Nicole that he kept on his visor is missing. Just as he tries to tell Tom, he smashes into the motor home.
Sometime later that day, Tom ponders Jared's disappearance and emotes to Marilyn, who is crying next to him. When Tom asks what is wrong, Marilyn responds, "You should have saved me." Tom begins to ask what she is talking about, only to be interrupted by the Driver revving his engine. Tom looks out the window and into the truck's cab, seeing Marilyn in the passenger's seat next to the Driver. Tom rushes out onto the empty highway and realizes that Marilyn is dead.
The final shot shows the Driver then driving down a different highway.
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