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Several wealthy women have apparently died of suicide, but Dexter suspects they were really murdered by their psychologist.
The police think they've uncovered the identity of the Ice Truck Killer, but Dexter is not sure they're right.
Dexter travels to the house of his biological father, who just passed away, to rekindle forgotten memories.
Dexter and the department hunt a fellow serial killer nicknamed the Ice Truck Killer, whom Dexter discovers to his horror knows his secret identity, and whose grisly work triggers Dexter's suppressed memories of his childhood; Dexter's sister Debra transfers into the Homicide Department; his girlfriend Rita deals with the surprise return of her paroled ex-husband, who doesn't want Dexter around his kids.