It is the middle of the night when pathologist Toni Day receives a call from the coroner informing her that the notoriously sleazy local attorney, Jay Braithwaite Burke, has just been found dead in his Mercedes in the middle of a snowy interstate. Unfortunately, everyone at Perrine Memorial Hospital where Toni works knows Burke. Over the years, he managed to talk nearly the entire medical staff into investing into his hedge fund. After it was revealed they had all foolishly invested in a Ponzi scheme, the feds moved in and he disappeared. Now, two months later, Toni is about to perform his autopsy.

It is no secret around town that many might have wished the attorney dead, including Toni and her husband, Hal. As she delves into Burke's autopsy, Toni already knows they have few clues to go on; when she learns the man bled to death, she suspects it was a homicide. To complicate matters further, Burke's partner also dies in suspicious circumstances, and Burke's widow and children are left homeless by a series of house fires. With a brutal schedule and doubts about her husband's faithfulness, Toni's life is already complex enough.

But when a mysterious illness casts a bloody pall over the holiday season, Toni must rely on her pathological expertise to unmask a killer and rescue herself and everyone she loves from a bloody death.