A man who calls himself Amish Stud plots with his mistress to murder his wife, to the horror of his conservative Amish community.

After a bitter breakup leaves her and her young children without any support, Anna goes to work for her cousin at a massage parlour known for "happy endings." As soon as she learns the ropes, Anna branches out on her own.

In this fifth installment, Death is just as omnipresent as ever, and is unleashed after one man’s premonition saves a group of coworkers from a terrifying suspension bridge collapse. But this group of unsuspecting souls was never supposed to survive, and, in a terrifying race against time, the ill-fated group frantically tries to discover a way to escape Death’s sinister agenda.