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While watching a race at McKinley Speedway, Nick O'Bannon (Bobby Campo) has a premonition of a car crash which kills almost everyone. In a panic, Nick convinces his girlfriend Lori Milligan (Shantel VanSanten), and friends Hunt Wynorski (Nick Zano) and Janet Cunnigham (Haley Webb) to leave, with the quartet being followed by a handful of others who become angry with Nick after he pushes past them to escape. As everyone begins to argue outside, the catastrophe Nick had foreseen occurs. After a memorial service at McKinley Speedway, two of the spectators who followed Nick and his friends out of the stadium, died violently in freak accidents.

Hearing about spectators deaths on the news, Nick and Lori begin doing research, and learn about the disasters that occurred in the previous three films (the explosion of Flight 180, highway pile-up of Route 23, and roller coaster derailment in McKinley, Pennsylvania) and discover that the survivors (who were saved by premonitions) began dying in a series of improbable accidents shortly afterwards. Nick and Lori realize that they must race against time to save the survivors while trying to cheat Death once more.