When a second person, Vincent Fricks, is found dead with ligature marks around his neck, Nikki and Harry not only find a connection between the two dead men but also with the school where Father Reid committed suicide. They also find another common link between the three. Leo Dalton continues his investigation into a local church that combines Christian with African beliefs and customs. He manages to find physical evidence linking one of the dead boys to the church.

With Claire Kowalski missing and Nikki Alexander unconscious from a blow to the head, Harry and Leo investigate exactly what is going on at the hospital. Harry discovers that a member of Huston's surgical team is not who they claim to be and has actually stolen the identity of someone who died six years before. Blackmail is at the center of it all and it turns out Alice Huston is hiding a secret. However, the killer is identified only by looking to old friendships and the calling in of an old debt.