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Rob and Candy are holed up in a motel room, using methamphetine and having sex. When they run out of drugs, Rob convinces Candy to use the CB to lure a trucker to their room, so they can rob him. Rusty Nail responds to Candy's summons. When Rob answers the door, Rusty realizes he's been tricked and takes the pair captive. Rob and Candy are chained to each other and the axle of Rusty Nail's truck. He takes them to a deserted stretch of Highway 17 and tells them he will let them go if they can hang on to the hood of the truck for a mile. If one of them falls, the other will be pulled off the truck by the chain, and both will die under the truck. He tapes a bag of meth to the windshield of his truck, telling them they can have the drugs after they make it. After riding awhile, Rob calls out that they have ridden for at least a mile, and Rusty Nail agrees. Thinking they have made it, Candy reaches for the bag of drugs; her chain is pulled into the axle, and she and Rob are both pulled underneath the still-moving truck and killed. Later, the authorities are called to the scene; Officer Williams, a newly appointed deputy, wants to investigate further, but is encouraged by Officer Jenkins to make it an open-and-shut case.

Racecar drivers Jordon and Austin, along with their team -- Jewel (manager and Jordon's girlfriend), Mickey (mechanic and pit crew chief), Alisa (PR), and Bobby (groupie) -- are caravanning from Kansas to Canada so that they can compete in the Road Rally 1000; they have an SUV with a flatbed trailer for the racecar, and walkie-talkies to communicate from car to car. When they stop at Headingley Grill for lunch, Austin finds Highway 17 on a map; he discovers that it would shorten their journey by a day and give them more time to get the lay of the land. When they ask a creepy truck driver, Barry, for directions, he warns them against taking 17; he tells them it's called "Slaughter Alley" (which the cops at the scene of Rob and Candy's deaths also claimed), and tells them the story of Rusty Nail, who has become something of an urban legend. Jenkins stops in for a cup of coffee and denies Barry's claims, encouraging them to take 17. Barry tells them that stretch of highway is unpatrolled, which appeals to Austin, who wants to be able to test the limits of their car on open road, so they agree to go that way.

Austin drives the racecar and Jordon, Jewel, and Alisa ride along. They tease Austin about a wreck he had previously gotten in. This is clearly a sore subject for Austin, who vents his frustration by messing with a truck driver (who just happens to be Rusty Nail) and then speeding off. Jordon makes Austin pull over and takes the driver's seat; just as they catch up to Mickey and Bobby in the SUV, Rusty Nail catches up to the group and starts laying on his horn. When Jordon tries to let him pass, he boxes them in, switching lanes so neither car can get around him. Jordon gets around, but as Mickey tries to pass, Rusty rams the flatbed trailer, causing it to detach from the SUV and run off the road. He then tailgates Jordon, who dodges to get out of the way of an oncoming station wagon; when Rusty tries to do the same, he jackknifes. Jewel and Alisa try to convince Jordon to stop, but he refuses, worried a mark on his record will cost them the race. Rusty checks a camera he has mounted to the front of the truck, identifying Jordon's license number, and then uses the CB to hail them; he has found their website and now knows exactly who they all are, threatening to make them pay for what they did. Jordon disregards his threats, and the team continues on.

Night falls, and the group stops at a gas station. Everyone is at odds over how to proceed. After Jewel fights with Jordon, she and Austin leave in the SUV to go to the police, as the others continue on in the racecar. Rusty Nail catches up to Jewel and Austin and tries to run them off the road; they desperately try to call Jordon for help on the walkie-talkie, which doesn't work on Jordon's end (as Barry warned them might happen). Rusty runs them off the road and puts their unconscious bodies in the back of his truck. Just then, the gang in the racecar gets their signals back and worry when they can't reach Jewel and Austin.

Rusty takes Jewel and Austin to a deserted field, and then kills Austin by putting his hands and then face through the engine fan of his truck. He then calls Jordon on the walkie-talkie, telling him he'll trade Jewel and Austin for the racecar. Rusty instructs Jordon to come to an old warehouse in an hour; Jordon and the others devise a plan to ensure that Rusty Nail will not double cross them, as Rusty torments Jewel. Meanwhile, Officer Williams finds the wrecked and abandoned SUV.

Jordon, Mickey, Alisa and Bobby arrive at the warehouse and split up; Alisa stays with the car, Bobby and Mickey go around the perimeter, and Jordon heads inside. After a tense search of the warehouse, during which Rusty kidnaps Bobby, Rusty flees in the truck. Jordon, Mickey, and Alisa follow in the racecar. When they come across a police cruiser, they pull over to find Jenkins; after convincing him of their story with a photo Rusty sent of Jules, he agrees to help them catch up to Rusty Nail. However, Rusty comes out of nowhere and obliterates Jenkins and his cruiser; Jordon, Mickey, and Alisa give chase. Meanwhile, Officer Williams encounters a truck weaving recklessly, and flags it down; however, it's a driver for a meat packing plant on a rush to deliver his cargo. When Williams searches the cargo, he finds parts of Austin's body; the driver claims he picked up a "rogue load" from a fellow trucker who needed help, but Williams subdues him and tries to hail Jenkins on the CB. He then tells dispatch he's bringing the meat truck driver in. Later he finds the burning wreckage of Jenkins' cruiser.

Rusty contacts Jordon, and kills Bobby as the group listens helplessly over the walkie-talkie. Rusty then tells Jordon to meet him at a junkyard and give himself up; only then will he set Jewel and Austin free. Mickey wants to go get help instead, and forces Jordon off the road; he tries to convince Alisa to come with him, but she refuses and leaves with Jordon to go save their friends. Mickey goes for help on foot; he finds the truck parked on a side road, and is overpowered by Rusty Nail. Rusty crushes Mickey's head in a wench, then lights the semi-trailer of his truck on fire, driving off in just the tractor unit.

Jordon sends Alisa to go get help and enters the junkyard alone. Jewel's screams draw him into the final showdown with Rusty Nail. The two fight, as Rusty indicates Jewel is trapped in a dangling car about to be crushed. Just as it seems Rusty has the upper hand, Alisa runs him over with the racecar, and she and Jordon go to rescue Jewel from the crusher. However, Jordon finds the video camera in the trunk of the crushed car; it is playing previously shot footage of Jewel. It's revealed that Rusty Nail tied her to the roof of the truck and ran her into the girders of a steel bridge, killing her.

Enraged, Jordon and Alisa get in the car to go find Rusty Nail, but he rams into them, trying to crush them. Alisa's leg is stuck, keeping her from getting out. Jordon runs to a nearby wrecking claw and uses it to put Rusty's truck in the crusher, with Rusty inside. Later, however, when Williams and his men investigate, Rusty Nail is nowhere to be found. The film ends with Rusty Nail hitching a ride with another truck driver.

The film begins at a truck stop in an unspecified rural location. It is night time in the midst of a heavy rainstorm, and a hooker gets into a large, black Peterbilt and offers her "services" to the trucker inside. The trucker is revealed to be Rusty Nail (Mark Gibbon) when he recites his phrase "I like the rain. Keeps everybody inside and washes everything clean." He asks the hooker to go out into the rain to get wet. When she is unnerved by this strange behavior and states she is leaving, Rusty Nail locks the doors and tells her to leave through the open window. He then shuts the window halfway as she is clambering out, trapping her with half her body hanging outside the truck. Rusty Nail then drives off, decapitating the hooker as he drives alongside a trailer attached to a truck.

Meanwhile, Melissa and her fiancé Bobby (Nicki Aycox and Nick Zano), a young engaged couple in their early twenties, are on a cross country road trip in a 1983 Chevrolet Caprice Wagon. They are heading across the Southwestern United States to Las Vegas, where they plan on getting married. Joining them for the ride is Melissa's sister Kayla (Laura Jordan), who along the way picks up her online boyfriend Nik (Kyle Schmid), a punk.

When their car breaks down in the desert, the four find a seemingly abandoned house along a side road. In the barn, they find a silver 1971 Chevrolet Chevelle in working order with the gas tank fully filled. Melissa and Bobby are initially reluctant to take the car, as it amounts to thieving, but due to Kayla and Nik's persistence, they relent. However, Melissa leaves a note in the house with her contact details for whomever may own the house and/or car.

The next day, Melissa receives a phone call from the person who owned the car they stole. He then calls Melissa "Goldilocks" (she is blonde), revealing that he can see her. He also tells her, "I believe you have something of mine, 'cause I now have something of yours," soon after Bobby disappears from a diner restroom. The others find a CB radio in their car, with which Rusty Nail talks to them. He orders them to destroy their cellphones and follow his orders if Bobby is to survive, and he has some quite nasty psychological mind games that create a bridge for gory, life-and-death situations. The group continues to follow Rusty Nail, who promises them that they will be all reunited soon, after Rusty requests for Kayla's middle finger, a reference to when Kayla flipped off the driver of a truck who turned out to be Rusty. The group cuts a finger from a corpse and reach the wrong trucker because Rusty already knew that they had broken the rules. Rusty cuts one finger off Bobby and puts it in the glove compartment of the vehicle, which is eventually discovered by the group.

Rusty later instructs Melissa to "strip down to her underwear" in front of his truck; it turns out not to be him, but some other trucker named Kenny Chesney whom Rusty Nail had instructed to be there. Rusty Nail soon pulls up at a bar in Utah, and Bobby tries to escape. He gains the attention of the barman, who has gone outside to smoke, but Rusty Nail catches him and uses a chainsaw-chain to cut off the barman's jaw. He then commands Nik to walk through a party dressed as a female and to buy crystal meth. Nik refuses to do this, and Melissa takes a knife to his throat, whereupon Nik cries, confessing that he is scared and his tattoos are fake. Nik walks up to the party in the clothes that were seen on the hooker earlier, only for Rusty to kidnap Nik and drive off. Melissa and Kayla chase them, and in the ensuing car chase, Rusty manages to ram their car several times, overturning it. Kayla's leg is pinned, and she is killed when Rusty rams again, causing the car to explode.

Rusty takes Bobby and Nik back to his home and has them play a sadistic game of "Craps" with dice. In this game, whatever one person rolls makes the other person suffer. Bobby's kneecap is struck by a hammer and his nipple branded by the letter R. Once Bobby rolls a double one snake eyes, Rusty kills Nik by stabbing him with a steel bar through the top of his head. Melissa breaks into a police station and steals a motor bike, racing off to find Bobby. Rusty Nail hangs Bobby by his neck in the back of his truck. Melissa parks the police motorcycle by the side of the truck, distracting Rusty and allowing her to overpower the killer with a few well-placed hits to the back with a shovel. She drives away in his truck, accidentally disconnecting the cabin from the rest of the truck and leaving Bobby behind, but Rusty manages to grab on to the side of the truck and climb on the roof. Melissa drives until the sun comes up and ends up plowing into a gas tank, causing the truck to catch fire. Melissa jumps from the truck as Rusty takes control, but it's too late, and he drives off the side of a cliff, the truck exploding on impact. Bobby escapes from the trailer and meets back up with Melissa, their ordeal finally over.

Later, in the middle of nowhere, a girl is stuck on the side of the road because her car has broken down. A big red Peterbilt truck with a trailer attached drives past her, only to stop and back up after she makes a nasty comment. She explains what's happened and asks for a ride. As the truck door opens, it is revealed that the driver has a badly burnt right arm. The girl climbs in and a familiar voice says "You'll catch your death out there," revealing that the driver is Rusty Nail, who survived the explosion. He drives away with the girl.