"Pumpkinhead: Ashes to Ashes" is a story about a small backwoods community that has discovered a disturbing secret about their local mortician. Instead of cremating the bodies as promised, the mortician has been dumping them in a nearby swamp.
Infuriated by this desecration of their loved ones, the residents of the town turn to a local witch with the power to resurrect the demon of vengeance. As Pumpkinhead rises to claim the lives of those involved in the scheme, a town physician who ran an illegal organ donor business takes it upon himself to eliminate anyone who had a part in unleashing the murderous monster.