Basket Case 2 is...well, it's something else. Joe Bob Briggs said "It's perfect!" and that was enough for me. I don't like it, but, at the same time, I don't hate it. It lacks the grittiness of the original Basket Case. The film is more polished but the sets aren't. They're clearly sets and the movie suffers for it. It lacks the realism that the first film depended on. The acting is better, Ted Sorel (From Beyond) is great. The movie is a just a bit too comedic for my tastes. The freaks are mostly stupid, but Belial still kicks ass though. He gets an upgrade in this film, from stopmotion to animatronics. All in all, the film still has that great stomach-turning quality, and the sex scene you never wanted to see. And it does have a great climax, the ending alone is worth watching the entire movie for. It just can't live up to the original.
Note for genre buffs: Two of the freaks include Ron Fazio (he was the second Toxic Avenger) and David Emge (Dawn of the Dead).