Andy Barclay has been torturing the disembodied head of Chucky for four years. Meanwhile, paraplegic survivor Nica Pierce has been in a mental institution after being framed by Chucky for the murder of her family. Nica now believes she was responsible and that Chucky was just a figment of her imagination.
Dr. Foley, Nica's sexually abusive psychiatrist, has her sent to a medium-security facility. Nica meets fellow patients Angela, Claire, Madeleine and Malcolm, a man who suffers from dissociative identity disorder. During a group therapy session, Foley introduces a therapy technique involving a Good Guy doll. Madeleine, who was institutionalized for smothering her infant son, immediately begins to treat the doll as if it was her baby.
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