Tobin Bell is back as the Jigsaw killer in Saw X, with a deadly new game in play. The film’s new trailer sees a sick and desperate John Kramer travel to Mexico for a risky, experimental medical procedure he hopes will provide a miracle cure for his terminal cancer. Soon, however, he learns that the operation is a scam to defraud the most vulnerable. We bet you can guess what comes next…

Kramer decides to return to his work, turning the tables on the con artists in his signature way: with deranged, elaborate, deadly traps. “It’s time to play a game,” the Jigsaw killer says. “You all pretended to cure me. But what I have planned for each of you is very real.”

Described as “the most disturbing instalment of the Saw franchise yet”, the Lionsgate horror film is set between the events of Saw I and Saw II, which Saw VI and Saw 3D director Kevin Greutert returning to helm this tenth franchise instalment. Josh Stolberg and Pete Goldfinger penned the script. Saw X also stars Shawnee Smith, Steven Brand, Synnøve Macody Lund, and Michael Beach.

Saw X will release in cinemas on September 29th. Watch the official trailer below: