Born on a plantation but set apart from the others by her mother's position as a medicine woman, a young slave is forced to leave home at eighteen and unexpectedly finds herself in an infamously cruel jail.

Determined to find out what happened to her former deputy chief, Jack Fielding, murdered six months earlier, Kay Scarpetta travels to the Georgia Prison for Women, where an inmate has information not only on Fielding, but also on a string of grisly killings. The murder of an Atlanta family years ago, a young woman on death row, and the inexplicable deaths of homeless people as far away as California seem unrelated. But Scarpetta discovers connections...