Rome is shattered by a series of gruesome murders that paint the Eternal City deep red. The suspicion grows that these atrocious crimes are connected with the return of one of the most heinous serial killers of our time - Karl the Butcher.

A demented, wicked, deformed, cannibalistic killer named K. The Butcher Shitter (Karl Berger), escapes from the police and slaughters people in many gory, bloody ways.