Molly Burke, death investigator and trauma nurse for St. Louis's Grace Hospital, has her own share of lifelong demons. It makes her the perfect candidate to help the troubled children who have passed through her ER over the years. So many of them Molly was helpless to save, so many disappearing back into their own private hells and never heard from again. But one of them refuses to be ignored. He's back with a vengeance. And he's willing to kill to get Molly's attention again.
It begins when Molly receives a special delivery--a human bone etched in gold. It's a token of a serial killer's affection that escalates with even more grisly trophies, threatening letters, and a chilling promise of unspeakable surprises yet to come.
Molly's new charge--her own troubled 16-year-old nephew Patrick, who has come to stay with her--suddenly walks into the nightmare. Now as Molly searches the past for clues to a serial killer's identity, she's forced to face her own family secrets before a stalker with a deadly agenda strikes again.