Octavia Spencer has officially confirmed her return as Sue Ann Ellington for Ma 2, a sequel to the 2019 psychological thriller that initially struggled at the box office but found enormous popularity on streaming platforms during the pandemic. The original film, produced on a $5 million budget, earned $61.2 million worldwide theatrically before becoming a recurring presence on streaming charts, eventually establishing itself as a contemporary cult classic driven by repeated viewership and internet meme culture.

The production team faces a narrative challenge, as the original film concluded with a seemingly definitive ending to its protagonist's storyline. Screenwriter Ashley Nicole Black is tasked with crafting a screenplay that preserves the first film's distinctive blend of psychological manipulation, social commentary, and shocking violence whilst establishing plausible circumstances for the character's return and renewed antagonism. Spencer indicated the team is approaching the project with careful consideration to maintain the elements that resonated with audiences.