Planning to "get away from the city" with his partner Lori he reluctantly agrees to meet again with the psychiatrist before leaving. He is told by them that the murders are real, committed by him and he should turn himself in to police.
Hallucinating due to drugs prescribed him by the psychiatrist, Boone ends up in hospital and has a chance encounter with a suicidal man who believes Midian is real and gives him directions there. Boone evades the police looking for him, jumps in his pickup truck and heads for the remote cemetery supposedly atop Midian to seek forgiveness.
Having neither read the book nor seen this 90s horror classic before I fancied it when it popped up on Horror Channel.
It has a reputation for having a bit of messy cut/release and that's understandable. They play around with a now common theme of the "monsters" being transgressive rather than evil which would have been a hard sell in 1990 and it's definitely missing bits of material that would round it out. There's a serial killer thread that feels unnecessary other than to set Boone on his path and it's very chosen one/white saviour but hey it was 1990.
It's all kind of rushed, played for action, the human antagonist characters very broad conservative small town stereotypes and the Midianites don't get the character development they were crying out for.
Despite all this I quite enjoyed it, 6/10. You can see they were shooting for something very different and only partly succeeded but the effort was worthy.