Jeremy Rose, the ruthless serial killer from the Louisiana swamps, leaves a trail of destruction in his wake as he flees north. But he has a score to settle with medical examiner Dr. Wren Muller—the only victim who wasn't killed. She escaped him. But this time, things will be different. Wren will suffer; Jeremy has sworn it. Traumatized by her encounter with her old nemesis, Wren is trying to cope in New Orleans. When Jeremy leaves a new trail of mutilated victims in Massachusetts, she realizes: the best way to heal is to resume hunting him. Until she discovers she's walked right into his trap. Their vicious game of cat and mouse becomes a battle between good and evil, and Wren is prepared to sacrifice everything to bring the killer to justice.