Destruction follows the ruthless serial killer, Jeremy Rose, the Bayou Butcher, as he heads north to evade capture for his horrific crimes. As he seeks safe harbor with a former friend, he remains focused on unfinished business with forensic pathologist Dr. Wren Muller, the only target who’s ever escaped him—twice. But not this time. He’s determined to make Wren suffer, and he’s promised to make her play by his own twisted rules. Still in shock over the harrowing encounter with her old nemesis, Wren is on forced medical leave in New Orleans. But with growing evidence that Jeremy is leaving a fresh trail of mutilated victims across Massachusetts, Wren realizes the best way to heal is to renew her pursuit of this vicious killer. She sets her sights on Jeremy, only to discover that she may have walked directly into his trap...