The Toxic Avenger verijdelt gedeeltelijk een bloedbad op een school voor gehandicapten. Een explosie brengt Toxie naar een parallelle wereld waar het kwaad regeert, en Noxie, Toxie's kwaadaardige tegenhanger, belandt in het vredige Tromaville. Nu is het aan Toxie om terug te keren naar de echte wereld om een einde te maken aan Noxie's slechte daden.
Nee, helaas is Citizen Toxie: The Toxic Avenger IV nog niet beschikbaar op Netflix in Nederland.
| Editing | Gabriel Friedman | Editor |
| Production | Trent Haaga | Line Producer |
| Directing | Lloyd Kaufman | Director |
| Production | Will Keenan | Casting |
| Production | Michael Herz | Producer |
| Production | Lloyd Kaufman | Producer |
| Production | Wanda Harris | Casting |
| Production | Caleb Emerson | Casting |
| Art | Alison Grossman | Production Design |
| Production | Weston Quasha | Executive Producer |
| Writing | Trent Haaga | Screenplay |
| Crew | Sean Collins | Additional Writing |
| Production | Trent Haaga | Casting |
| Production | Patrick Cassidy | Line Producer |
| Writing | Lloyd Kaufman | Screenplay |
| Production | James Coleman | Executive Producer |
| Crew | Corey Kalman | Additional Writing |
| Crew | Matt Levin | Additional Writing |
| Production | Geoff Mosher | Casting |
| Production | Andrew Lerner | Executive Producer |
| Writing | Gabriel Friedman | Screenplay |
| Sound | Wes Nagy | Original Music Composer |
| Production | Ken Squire | Executive Producer |
| Camera | Brendan Flynt | Director of Photography |
| Writing | Patrick Cassidy | Screenplay |
| Crew | Alisa Christensen | Fight Choreographer |
| Production | Yoni Tabac | Associate Producer |
| Crew | Orson Welles | Thanks |
| Crew | 张镭 | Stunts |
| Directing | Geoff Mosher | Script Supervisor |
| Crew | Scott Rhodes | Stunt Coordinator |
| Production | John H. van Merkensteijn | Co-Producer |
| Production | Elizabeth van Merkensteijn | Co-Producer |
| Production | Jonathan Foster | Co-Producer |
| Editing | Sean McGrath | Associate Editor |
| Camera | Tet Kay | First Assistant Camera |
| Camera | Arsenio Assin | Second Assistant Camera |
| Lighting | George W. Gatter | Gaffer |
| Directing | Joanna Shattuck | Second Assistant Director |
| Costume & Make-Up | Sandy Molina | Makeup Artist |
| Costume & Make-Up | Amy Tagliamonti | Special Effects Makeup Artist |
| Crew | Drew Jiritano | Pyrotechnician |
