本片是《沉默的羔羊》十周年纪念日推出的续集,这一集故事仍然改编自作家托马斯哈里斯的小说。 从高度戒备的医院逃脱的汉尼拔(安东尼·霍普金斯 Anthony Hopkins 饰)恶习难改,继续寻找他的“猎物”,不料成了曾在自己刀下侥幸活命的梅森(加里·奥德曼 Gary Ol dman 饰)的猎杀对象。梅森是一个罪大恶极的恋童癖,曾经强暴过自己的亲妹妹,年轻的时候逃狱,并且接受过人魔汉尼拔·莱克特的心理治疗,但汉尼拔·莱克特却害他半身瘫痪并且严重毁容,现在必须靠人工呼吸器维生。但是他拥有庞大的财产,并且不断收集各种不同的儿童,希望能把汉尼拔引出来,进行恐怖的报复行动。无奈之下汉尼拔求助于克莱丽斯探员(朱丽安·摩尔 Julianne Moore 饰)。两大恶魔对决,到底谁胜谁败?The continuing saga of Hannibal Lecter, the murdering cannibal. He is presently in Italy and works as a curator at a museum. Clarice Starling, the FBI agent whom he aided to apprehend a serial killer, was placed in charge of an operation but when one of her men botches it, she's called to the mat by the Bureau. One high ranking official, Paul Krendler has it in for her. But she gets a reprieve because Mason Verger, one of Lecter's victims who is looking to get back at Lecter for what Lecter did to him, wants to use Starling to lure him out. When Lecter sends her a note she learns that he's in Italy so she asks the police to keep an eye out for him. But a corrupt policeman who wants to get the reward that Verger placed on him, tells Verger where he is. But they fail to get him. Later Verger decides to frame Starling which makes Lecter return to the States. And the race to get Lecter begins.
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