What they don't know is that this train has no intention of letting them arrive alive at their destination. They're young, they're strong, and that means they're perfect victims for a group of crackpot doctors to kidnap, torture, and ultimately use their body parts and organs in a weird donor-transplant scheme.
There is one lone female who survives, and it's through her eyes we see all the carnage inflicted upon the college students.
Think "Midnight Meat Train" with a female hero. Think of any mad slasher/serial killer who chops up countless victims, while a single teenage girl manages to elude his clutches, only on a train.
I have to admit, the gore is pretty spectacular, but the biggest problem sticking in my craw was the fact that these people would slice open and extract organs from their still-living victims without any kind of sanitary containment whatsoever. The walls are grimy, the slabs are caked in dried blood, and the whole place reeks of filth, and we're supposed to believe these organs are being placed in other people, and those people survive?
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