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Buckling under the weight of his conscience after years of parting desperate believers with their money, Cotton and his crew plan to film a confessionary documentary of this, his last exorcism. But upon arriving at the already blood drenched family farm, it is soon clear that nothing could have prepared him for the true evil he encounters there. Now, too late to turn back, Reverend Marcus' own beliefs are shaken to the core when he and his crew must find a way to save Nell - and themselves - before it is too late.

After a career spent helping the devout through prayer and trickery, Reverend Cotton Marcus (Patrick Fabian) invites a film crew to document his final fraudulent days as an exorcist.