In 1980s Hollywood, adult film star and aspiring actress Maxine Minx finally gets her big break. But as a mysterious killer stalks the starlets of Hollywood, a trail of blood threatens to reveal her sinister past.

In 1918 Texas, Pearl, a young woman living on her parents' farm, is captivated by movies and dreams of becoming a chorus girl. As she spirals into madness, she indulges in abusing morphine and commits a series of murders, including her parents and a projectionist. Pearl's ultimate goal is to create a comfortable home for her husband who returns unexpectedly from war.

The fourth film in Ti West’s X franchise. West has confirmed he is developing a new installment.

In 1979, a group of young filmmakers set out to make an adult film in rural Texas, but when their reclusive, elderly hosts catch them in the act, the cast find themselves fighting for their lives.