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The Descent
Sarah is picked up by her husband Paul and daughter Jessica after a whitewater rafting trip with her thrill-seeking friends Juno and Beth. Paul is distracted on the ride home, causing a car crash that kills both him and Jessica. Sarah awakens in the hospital and collapses after Beth tells her about their deaths.
One year later, Sarah, Juno, and Beth reunite for a spelunking adventure in the Appalachian Mountains of North Carolina along with sisters Sam and Rebecca, and newcomer Holly. They hike to a mountain cave entrance and descend. Making their way through the caves, Sarah becomes stuck in a narrow tunnel, but manages to escape before it collapses, blocking the way back. Juno admits that she has led the group into an unexplored cave system instead of the mapped one they had filed with local authorities, which means that a rescue party would be unable to locate them.
The group searches for an exit and discovers old climbing equipment and a cave painting that suggests a way out. Holly, thinking she sees sunlight, runs ahead but falls into a hole and breaks her leg. As the others help her, Sarah wanders off and sees a pale, humanoid creature drinking from a pool before it scampers away. Later, they come across a den of animal bones and are suddenly attacked by a creature they call a "crawler", which kills Holly. Sarah runs, but falls down a hole and is knocked unconscious. Juno, trying to stop Holly's body from being dragged away, kills a crawler with her pickaxe, but then accidentally stabs Beth in the neck after being startled. Beth grabs Juno's pendant as she collapses and a traumatized Juno flees.
Sarah awakens in a den of human and animal carcasses to see Holly's body being mauled and eaten by crawlers. Juno discovers cave markings left by previous explorers pointing to a potential exit from the caves. She finds and saves Sam and Rebecca from a crawler, and Sam deduces that the creatures are blind and hunt by sound. Sarah finds a dying Beth, who reveals both that Juno stabbed her and that Juno's pendant was a gift from Paul, confirming Sarah's suspicions that Juno and Paul were having an affair. Beth begs Sarah to end her suffering, and Sarah reluctantly kills her with a rock. Sarah then encounters several crawlers and manages to kill them all, falling into a blood-filled pool in the process.
Elsewhere, Juno, Sam, and Rebecca are pursued by a large group of crawlers. They reach a chasm, and Sam tries to climb across but is attacked by a crawler on the ceiling. It rips out her throat, but she stabs it before bleeding to death. Rebecca is dragged away and disemboweled as Juno flees. Juno later reunites with Sarah and lies about seeing Beth die. After defeating a group of crawlers near an exit, Sarah confronts Juno, revealing the pendant, and her knowledge of Beth's fate and the affair with Paul. She then stabs Juno in the leg with a pickaxe and leaves her to die as a horde of crawlers approaches. Juno removes the pickaxe from her leg to hold back the crawlers and is heard screaming as Sarah escapes.
Sarah falls into a hole and loses consciousness. When she wakes, she sees sunlight and clambers up a bone-strewn slope to escape the cave. She reaches her car and speeds away, eventually pulling over to break down in tears. After a truck passes, she vomits out of the window. When she sits back up, she hallucinates seeing a bloodied Juno beside her, and screams. In the UK version, Sarah awakens, still in the cave, and has a vision of Jessica, smiling as the sounds of approaching crawlers grow louder.