Four young women have been found murdered—tortured and strangled in their own beds—all victims of the same brilliant monster. Using a skilled hand and the latest technology in forensic medicine, Kay Scarpetta begins the process of gathering the microscopic clues the latest battered body has to give.

After their last deployment, when she got shot, her fiancé, Martinez, got killed, and his bomb-sniffing dog, Elvis, got depressed, soldier Mercy Carr and Elvis were both sent home, her late lover’s last words ringing in her ears: “Take care of my partner.” On the Fourth of July weekend, when all of Northshire celebrates with fun and frolic and fireworks, the dog alerts to explosives and they find a squalling baby abandoned near a shallow grave filled with what appear to be human bones.

Forensic pathologist Dr. Kay Scarpetta has come almost full circle, returning to Virginia, the state where she launched her storied career, as the chief medical examiner. Finding herself the new girl in town once again after being away for many years, she’s inherited both an overbearing secretary and a legacy of neglect and potential corruption.

When Matt Ballard was starting out his career, three boys were murdered in the same area, the remote and bleak Gibbet Fen. When the main suspect was killed in a hit-and-run, the killings stopped. But Matt was not satisfied that the real murderer had been caught. Over 25 years later, Matt gets a photo in an unmarked envelope. It's of the Gibbet Fen crime scene. And the picture was taken before the murder took place. More photos arrive, relating to the historic murders, as well as intimate pictures of Matt's very secret private life.

It's June in Montreal, and Dr. Temperance Brennan, who has left a shaky marriage back home in North Carolina to take on the challenging assignment of Director of Forensic Anthropology for the province of Quebec, looks forward to a relaxing weekend in beautiful Quebec City. First, though, she must stop at a newly uncovered burial site in the heart of the city. The remains are probably old and only of archeological interest, but Tempe must make sure they're not a case for the police. One look at the decomposed and decapitated corpse, stored neatly in plastic bags, tells her she'll spend the weekend in the crime lab.