In this gripping crime thriller, a forensic pathologist named Kay Scarpetta finds herself in the midst of a serial killer investigation. As she delves into the brutal murders of several young women, Scarpetta must use her expertise to unravel the clues left behind by the sadistic murderer. With her own life in danger, Scarpetta races against time to catch the killer before he strikes again, leading to a shocking and unexpected conclusion.

This novel tells the story of the Timberlake family, focusing on two sisters, Stanley and Roy. Stanley is a selfish, manipulative woman who abandons her husband for her sister Roy's husband, causing a series of tragic events. Meanwhile, Roy, the more responsible and virtuous sister, must navigate the fallout of Stanley's actions. The book explores themes of family, morality, and the destructive power of selfishness, all set against the backdrop of the American South in the early 20th century.