Slaughtered Socialites (1996)

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Set in the early 1960's, Artie, the deranged janitor from Slaughtered Secretaries, returns to wreak havoc on a doctor and her patients. Dr. Sorens (Dawn Murphy) has taken Artie under her wing and given him a job, not believing that he killed the three secretaries five years earlier. But she's wrong and they all pay the price for her ignorance!