A girl is interviewed by the police. He mentions a tape, that her boyfriend is dead and that two others are missing.
And now we get to see the tape. Basically a guy films his girlfriend at all times. She's a painter, free spirit, fun-loving, wild and very cute. We follow them one day as they mess around, go to a coffee shop, into a store, then drive around as he shows her a place that could be used for a fancy art exhibition of her work. The place is an abandoned hospital. She of course rushes in through the fence and goes inside. He's reluctant but joins her. And of course everything seems fascinating to her. Incubators, children's toys, old beds. She gets on one and he restrains her. Then he leaves here there for a good while. A ghost appears and enters into her of sorts. At some point she starts bleeding profusely out of her nose. As they leave, he car is being towed so she calls a friend. A couple arrives. They of course wants to see the place. So even though the girl was freaking out earlier now she goes back in. They start tagging the walls. This new guy is a complete jerk and a bully. He even has a gun with him and gets very touchy with the girl even though his girlfriend is right there. They separate, run into each other again. Our first couple meets up, discovers the archive room and she finds some tape and a file and starts bleeding again. Meanwhile camera guy finds a room with cameras and sees what actually happened to the other couple and why they are missing. But his girl flips out once again. At the end we get some more background story of the place and its patients.
sxtape has one big advantage over all other crappy found footage tapes. It's centers on an attractive girl. If you are going to make a lame POV movie, that's what you want, your camera on a pretty girl occasionally in erotic situations. And this movie for the first half hour is fun and entertaining. But from there it goes downhill when the other couple arrives an we get nothing but abusive and obnoxious behavior. While the background of the hospital and the patients is interesting enough the movie unfortunately settles for psychological terror, which is never particularly scary let along interesting. A decent effort to rehabilitate the dreadful POV horror subgenre that doesn't go far enough.