A deeply troubled and PTSD wrestling Rambo picks up casual work wherever he can. When long-time family friend and estate manager Maria informs Rambo that her grand-daughter has gone missing after crossing into Mexico for a party, he sets off with her to find the youngster. What ensues is a violent descent into hell as Rambo uncovers a sex-trafficking ring. He teams up with a journalist whose half-sister has also been kidnapped and must deploy all his skills to save the girls and bring down a vicious crime lord.
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