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After we last see him in "Alexandria, Why?" Egyptian filmmaker Yehia Mourad is in his thirties, and successful in his work, he has grown distant from his wife and children and suffers a symbolic blockage of the heart while shooting the final scenes of his latest film. After being flown to England for evaluation, it's determined that Yehia must undergo emergency surgery. Fact and fiction blend seamlessly—with healthy doses of cleverly absurdist fantasy—as the film explores the various personalities and forces that have made Yehia (and Youssef Chahine) the man he has become.

In 1959, underground revolutionaries try to assassinate Prime Minister Abd al-Karim Kassem in Baghdad. News reports claim they have failed, and at first the revolutionaries lay low, but as the secret police continue to comb the neighborhoods with house-to-house searches, they flee to the countryside. Among those fleeing is Saddam Hussein, the future president of the republic.

Set in 1987 against the backdrop of a hunger strike by the Egyptian film industry, Chahine himself steps in to play Yehia, the famed Egyptian director whose life is chronicled in "Alexandria, Why?" and "An Egyptian Story". Obsessed with Amr, the handsome actor he discovered and cast as his alter-ego in parts one and two of The Alexandria Trilogy, Yehia pressures Amr to star in various film projects that change even as Yehia's perception of the young actor begins to change. He first casts Amr as Hamlet, which the actor deems too demanding for his talents, then as the lead in a musical biopic of demigod Alexander the Great, who founded the city of Alexandria in 332 B.C.

An Iranian attack occurs on the middle sector, prompting a team of Iraqi special forces to attempt to repel the assault. A tough confrontation unfolds until an Iraqi aircraft intervenes, bombing enemy barracks, and allowing some of the soldiers to survive the battle.

Nabil, a simple employee in one of the Iraqi ministries, siffers from very weak eyesight, but he detests wearing glasses, the fact that his family are all wearing glasses, turn the popular recipes, eat carrots without avail, flubs in his duties, is transferred to another place, also it fails in it, meets a girl. He falls in love with her and tries to change his way of dealing with things.

Qassem has an accident that causes him to experience amnesia. A rural family finds him and gives him the name Hammady. He lives happily until another accident leads to the recovery of his memories.

Fatima is a rural woman left behind when both her husband and brother depart to fight in the war. Alone, she carries the weight of survival, caring for her elderly father and young son, tending the land and livestock, and traveling long distances to bring water home. Amid the grind of daily hardship, longing consumes her. A horse once ridden and cherished by her husband becomes her sole emotional bridge to the absent men, embodying memory, hope, and endurance. Through it, she waits endlessly for their letters, clinging to reassurance that they are still alive.