It has been three months since your escape from the Splatterhouse 2 . Having been unable to save Jennifer, you keep having the recurring dream where she is begging you to come and rescue her. The mask from the Splatterhouse appears and promises that there is still a chance to save her. There is a downside to it, though. Wearing the mask of terror will fill you with feral rage and an insatiable hunger for blood.
The game takes you through eight, side-scrolling stages, heavily influenced by films such as Evil Dead 2. You can pick up additional weapons, including a lead pipe, bones, bombs, a shotgun, and a chainsaw, to fight against skulls, razor fish, and giant demons. A boss, requiring a specific pattern of moves, awaits you at the end of each stage.