A young man from a well-known family jumps off a water tower. A woman is found ritualistically murdered in her multimillion-dollar beach home. The body of an abused young boy is discovered dumped in a desolate marsh. Meanwhile, in distant New England, problems with a prominent patient at a Harvard-affiliated psychiatric hospital begin to hint at interconnections that are as hard to imagine as they are horrible. Kay Scarpetta has dealt with many brutal and unusual crimes before, but never a string of them as baffling, or as terrifying, as the ones confronting her now. Before she is through, that book of the dead will contain many names-and the pen may be poised to write in her own.

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