<P> Initially a fourth film, entitled Outbreak, was planned with the story taking place on a cruise ship . The film was supposed to be filmed back - to - back with Cabin Fever: Patient Zero, but these plans eventually fell through . and the idea of a remake was formed . </P> <P> The film uses the same script as Roth's original, although director Travis Zariwny trimmed the page count from 134 to only 92 . Zariwhy also discussed and incorporated aspects that Roth wanted to include in the original but wasn't able to . One change is that Deputy Winston, a male (portrayed by Giuseppe Andrews) in the first and second films, is now played by a female (portrayed by Louise Linton). Zariwny claimed he made this choice because "There was no way for me to emulate Giuseppe's performance ." </P> <P> Principal photography took place in Portland, Oregon in February 2015 . </P> <P> In September 2015, IFC Midnight acquired North American distribution rights to the film, The film was released in a limited release and through video on demand on February 12, 2016 . </P>

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