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La Sierra is a barrio in Medellin, Colombia - the cocaine capital of the world. Here, lives are defined by drugs, guns and violence. A state of perptual urban warfare exists, with paramilitary gangs, leftist guerrillas and the US-sponsored Colombian military battling continually for power and control. This award-winning film portrays three of La Sierra's inhabitants: 22-year-old paramilitary leader Edison, a self-professed killer and father of six children by six women; gang soldier Jesus, ready for death at any moment; and Cielo, only 17 and already a mother with a boyfriend in prison.