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In the lonely woods around Grizzly Falls, Montana, the first body is discovered, stripped naked and tied to a tree. Alvarez and Pescoli have been hoping for a career-making case, but this is a nightmare. The killer stages car accidents on icy, isolated roads and “rescues” his victims. He toys with them, heals them, earns their trust...before subjecting them to a slow, agonizing death.

Growing up in a London family with ties to organized crime, Detective Constable Cat Kinsella knows the criminal world better than most cops do. Working their latest case, Cat and her partner Luigi Parnell discover a connection to a notorious criminal: serial killer Christopher Masters, who abducted and killed several women in 2012. Though the cops eventually apprehended him, his final victim, Holly Kemp, was never found and he never confessed to her murder. Now, six years later, the discovery of Holly’s remains near Cambridge seems to be the definitive proof needed to close the case.

Recently engaged and deeply ensconced in her third year of surgical residency in Chicago, Emily Hartford gets a shock when she is called home to Freeport, Michigan, the small town she fled a decade ago after the death of her mother. Her estranged father, the local medical examiner, has had a massive heart attack. At the hospital, she finds her father in near total denial of the seriousness of his condition. He insists that the best thing Emily can do to help him is to take on the autopsy of a senator's teen daughter whose sudden, unexplained death has just rocked the sleepy town.