Carl Rizk, an ex-covert operative who's moved to a small quiet town in Oregon to raise his son and daughter gets awakened by a phone call and message from a modulated voice telling him that both his children have been kidnapped and buried alive with just enough air to survive for the next 5 hours. In order to ever see his children alive again, RIZK has to take on three distinct groups of highly-skilled criminals and kill each and every one of them. But he has to work alone and face increasing obstacles and levels of weaponry to uncover the identity of the man behind the macabre plot. The clock is ticking and RIZK can't waste any time or make any mistakes or he will lose his family forever.

After a massive shootout, a mysterious stranger (Van Damme) arrives at a local hospital on the brink of death. Then, a foreign gang brazenly comes to the hospital to hunt him down. His nurse, the sole surviving witness to the follow-up shootout, must face an FBI interrogation that unlocks a plot of international intrigue and revenge. With enough twists and turns, KILL'EM ALL will keep you guessing until the final bullet is fired.