Smile 2 (2024)

Six days after Rose Cotter's death, the now-cursed Joel attempts to pass the Smile Entity on by killing one murderous criminal in front of another. He accidentally kills the witness in a shootout, and drug dealer Lewis Fregoli, whom Joel had not previously noticed, inherits the curse as a bystander. Joel tries to flee when more criminals arrive, but is run over and killed by an oncoming pick-up truck.

Meanwhile, New York-based pop star Skye Riley appears on The Drew Barrymore Show as she prepares for her comeback tour following a public struggle with substance abuse and a car crash that killed her actor boyfriend, Paul Hudson. Despite constant supervision from her mother/manager Elizabeth, Skye sneaks out to buy Vicodin from Lewis, her high school friend, after injuring her back in rehearsals. After Skye arrives at Lewis' apartment, Lewis begins screaming and panicking before being possessed by the Entity. While Skye watches, Lewis rises, smiling, and fatally smashes his face in with a barbell plate, traumatizing Skye and passing the curse onto her. Afraid of being found with Lewis's corpse and a room full of drugs, Skye leaves without alerting the authorities.

Skye is plagued by relentless visions, including hallucinations of Paul, her assistant Joshua and a disfigured Lewis smiling at her, causing her mental health to rapidly deteriorate. Needing support, she reconciles with her estranged friend Gemma. Skye receives a text from an unknown number, claiming to know she was at Lewis's apartment and that she is in danger. When the hallucinations become overwhelming, Skye decides to meet this contact in a bar. There, the mystery texter is revealed to be an ER nurse named Morris, who explains the nature of the curse to her and tells her he has been tracking the Entity ever since it killed his brother. Theorizing that the Entity is parasitic and could die without a host, he suggests stopping Skye's heart and then resuscitating her to break the curse, but she refuses and leaves after being recognized by bargoers. Arriving back at her apartment, Skye is cornered by the Entity, which takes the form of her backup dancers. Skye tries to escape but is violently thrown around the apartment and pinned down as a giant arm forces its way into her throat, causing her to black out.

A flashback reveals that Skye caused Paul's death by intentionally crashing the car during a drug-induced argument. Skye awakens at a retreat and argues with Elizabeth over the upcoming tour. Suddenly, Elizabeth smiles, smashes a mirror, and fatally stabs herself with a shard. Skye attempts to leave but, to her horror, realizes that it was she who stabbed Elizabeth. She attracts attention from the hospital workers and Joshua when seen covered in blood. Skye escapes the retreat and reunites with Gemma, stealing a car to meet Morris. She receives a call from the real Gemma and realizes that the "Gemma" who is in the vehicle with her, and with whom she has spent the entire week, is the Entity. After regaining control of the car, Skye meets Morris at an abandoned Pizza Hut, where he plans to use the walk-in freezer to prevent brain damage when stopping her heart. Morris temporarily leaves and the Entity appears as Skye's former self from the car wreck. After a struggle, she fights it off and injects herself with the syringe meant to stop her heart. Unfazed, the Entity mockingly affirms that Skye is not in control.

Skye then finds herself onstage for her opening tour performance at Herald Square Garden. She sees a still-alive Elizabeth watching from the audience, and realizes that the entire day has been an illusion. The Entity appears as Skye's current self before tearing its stomach open from where its true form emerges; a giant, skinless, semi-humanoid creature with multiple smiling mouths on its body. Skye screams and falls into a trance, before the Entity possesses her. Now smiling menacingly, Skye fatally stabs herself in the eye with her microphone in front of thousands of horrified spectators.