
In grief, Maria leaves the farm, claiming that there is nothing left for her there anymore. Rambo subsequently buries her near their house and mourns her demise. However, as a result of an earlier drug overdose, she dies returning home. He raids one of the brothels, killing several men in the process, and finally succeeds in rescuing Gabriela. Some time later, Rambo is well enough to go back for a second rescue mission. She takes Rambo to her home and helps him recuperate from his injuries. The gang leaves and Rambo is taken to safety by the woman who had followed him, a journalist named Carmen Delgado, who has been investigating the human traffickers since her sister was abducted and killed by them. The gang's second-in-command and Hugo's brother, Victor Martinez, then marks him by cutting his calling card into Rambo's cheek, claiming that he will do the same to Gabrielle. Hugo claims that he will make an example of her, by getting her addicted to heroin until she dies. The gang's leader, Hugo Martinez, tells Rambo that he will let him live, but Gabrielle will be severely punished for his actions. They take his driver's license, revealing the ranch's location, and a photo of Gabriela, who they recognize. Rambo attempts to rescue Gabriela from the gang in Mexico, but he is surrounded by the entire gang and beaten until he can no longer fight back. Rambo leaves with the man, but is followed by a woman who witnessed the altercation. At the club, Rambo attacks El Flaco, the man who drugged Gabriela and tortures him until he reveals her location.

Rambo realizes that she sold Gabriela out to the trafficking gang for money and she was able to tell Rambo who she tipped off. Rambo then encounters Gizelle, who he sees wearing Gabriela's prized gold bracelet that once belonged to her mother.

Rambo first confronts Manuel, and after learning that he just told her to leave, Rambo tells him that this all resulted because of his actions, and that he should have killed him years prior, leaving without further incident. Rambo quickly learns of Gabrielle's disappearance and travels south to find her. While at the club, Gabriela is drugged and abducted by human traffickers for use as a sex slave. Gabriela is a wreck because of this and attempts to go home, but her friend tells her to stay and go to a night club so she can calm down before going home the next morning. When Gabriela finally gets to see her father again, Manuel rudely rebuffs her attempt at reconnecting and tells her that he simply never cared about her or her mother, and decided to abandon Gabriela after her mother died because he did not want to be "stuck" with her. However, Gabriela is too emotional about the situation and secretly leaves to Mexico. Rambo also reminds her of how cruel he was to her and her mother, and that he cannot be a changed man. Rambo explains to her that she may not be satisfied with the answers to her questions and implores her to stay until she has thought the matter over further. Despite preparing to go to college and with a promising future ahead of her, Gabriela desires to find closure on why he left her and insists on going to see him. Manuel had abandoned his family after Gabriela's mother died of cancer almost a decade previously. Things take a turn for the worst when Gabriela is told by her friend, Gizelle, who is living in Mexico, that she has located her father, Manuel.
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Though his life is free from the violence that had long defined it, Rambo still suffers from severe post-traumatic stress disorder, which Gabriela helps him cope with. Since they had helped him settle back into civilian life in America, the two are like family to him, and he considers Gabrielle his niece.


Rambo lives there with his old friend, Maria Beltran, and her granddaughter, Gabriela Beltran. He once again lives in Bowie, Arizona and works semi-retired on his long-estranged family's horse ranch. Eleven years have passed since the events in Burma, and John Rambo has returned to the United States from Thailand.
