Y'know what you are, what you're made of. War is in your blood.  

                     When you're pushed, killing's as easy as breathing.

Vietnam veteran John Rambo has been through a hell of a lot in his lifetime, and so who could blame him for enjoying a relatively quiet life in Bangkok. he spends most of his time salvaging PT boats and tanks for scrap metal. However a group of Christian human rights missionaries, led by Michael Burnett and Sarah Miller, approach Rambo with the desire to rent his boat to travel up the river to Burma. Yet for over fifty years Burma has been a war zone, and the people of the region, who consist of peasants and farmers, have endured brutally oppressive rule from the murderous Burmese military, and have been struggling for survival every single day. This is the time when medical assistance and general support from the Christian missionaries is needed most.

Despite insistence from Sarah, Rambo declines the offer and Michael, Sarah, and the rest of the missionaries head up the river on their own. When the missionaries finally arrive at the Karen village, they are ambushed by the sadistic Major Pa Tee Tint, and a host of Burmese army men. A portion of the villagers and missionaries are tortured and viciously murdered, while Tint and his men hold the remainder captive. News soon reaches the minister in charge of the mission, and, with the help of Ed Baumgartner, he employs Rambo to lead a rescue effort the only way he knows how.

With five young and highly trained, diverse mercenaries at his disposal, Rambo has to travel back up the river and liberate the survivors from the clutches of Major Tint in what may be one of his deadliest missions ever.

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