Just as Monongahela County Coroner Zoe Chambers-Adams decides to fire her abrasive chief deputy, Dr. Charles Davis, and put an end to his constant undermining of her position, a suspicious car crash severely injures the county’s only other forensic pathologist. To keep the office operational, Zoe has little choice but to keep Davis on staff.

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When Zoe and her husband—Vance Township Police Chief Pete Adams—respond to a brutal homicide, they quickly learn the victim had come to town for the sole purpose of sharing vital information with Zoe. And the decedent’s ex-husband is none other than Zoe’s deputy coroner.

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As Zoe and Pete dig deeper into the victim’s past, more questions arise along with a tangle of connections between multiple cases, including a very cold one that leads Zoe and those she cares about directly into the crosshairs of a crazed killer.