The film involves gutter punks who take the anti-establishment message with extreme seriousness and tune out society completely. Spheeris talks to homeless teenagers living on the street or squatting in abandoned buildings in Los Angeles that go by the names of "Why-Me?", "Hamburger", "Troll", "Eyeball", "Squid", and others. ... Performances by four bands were filmed: Final Conflict, Litmus Green, Naked Aggression, and The Resistance.
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The film premiered at the 1998 Sundance Film Festival where it won the Freedom of Expression Award. It was screened at the Cannes Film Festival and the Chicago Underground Film Festival, where it received a jury award. However, it never went into general release and was not available on VHS or DVD until the release in 2015 of a box set containing all three films on DVD and Blu-ray. This was partly due to Spheeris refusing to relinquish the rights to the first two parts of the trilogy in order to enable the third to be released. According to an article by Laura Snapes, "there was little demand to see such a depressing movie, and the few distribution offers that Spheeris got required her to hand over the rights to the first two movies, which she refused to do".[4] Decline III was also released separately via streaming video.