Five years have passed since your former Saints crew betrayed you. As you awake from a coma for the first time since that fateful day, you find the Stilwater you once ruled is in disarray. Unfamiliar gangs have laid claim to your territory, rival factions have taken over your rackets, and cash-hungry corporations have laid waste to your once proud 3rd Street home. Abandoned and left scarred with an unrecognizable face, you seek out a plastic surgeon to begin your new life on the streets. Yet some things never change in Stilwater.

Respect can only be earned and that requires a lifestyle that reflects your unique personality. Your crib, your crew, and your character define who you are on the streets and how you are perceived. The image you portray is as important as the decisions you make in a city ruled by false bravado and impulsive behavior. The only constant is the need for an identity that reflects your individuality. But style and image can only take you so far in a world where actions speak louder than words. Sometimes sending a message to your enemies requires heavy lifting, like that of a rival gang member into oncoming traffic. Respect in Stilwater needs to be taken, and what better way than to grab it from the hands of a gang full of enemies by means of a satchel charge, a flame-thrower or those minigun rounds you've been saving for a special occasion.