
The story is going to be very difficult to describe. I at least had the description on the back of the DVD box for the first three films but when VG4 arrived, the box had no information on the plot (or even the official title). What I got from watching it was that it's a prequel to the original trilogy revolving around Angela Aberdeen before her suicide. That's all I can fully explain, but there seems to be alternate universes and completely unrelated plots going on as well. This is just one you'll have to figure out for yourselves.
The gore in this film is incredible. I won't spoil anything major, but let's just say it took me a while to realize what was a special effect and what was real. These films have, for the most part, featured very impressive practical special effects work and VG4 is no exception. Of course, there's no shortage of vomit in this film. It's all very disgusting and hard to watch at some points. Hank Skinny makes his triumphant return as well (sans his signature aviator shades), and demonstrates his unique talents. There's also some fetishistic elements similar to the third movie, but it's cut down to a minimum here. One other thing that this installment has that the other three films do not is real self-mutilation. These scenes I found to be very disturbing, and the hardest to watch for me personally.

Bottom line is, if you liked the original trilogy, you'll like this one. Personally, I was a bit disappointed by the third film, but VG4 put the franchise back on track. I honestly can't wait to see what Valentine has in store for us in the future.