Sam Ryan assists the police in the investigation of a multi-vehicle collision that results in the death of 11 people. She is joined by two new colleagues: Dr. Leo Dalton, an experienced pathologist from Sheffield and Dr. Harry Cunningham. As they try to determine the causes of the accident, they find a severed arm that does not belong to any of the victims. They also have to deal with DCI Carol Deacon whose role in the investigation is not quite clear to them. Sam and Leo have somewhat different approaches to their job, particularly in how they deal with the police. Harry performs his first autopsy on a child.

The police investigate an apparent break-in that results in the death of Derek Irons, his wife and youngest daughter. Two older children survived the attack but one is in serious condition and in a coma. Irons was a ruthless businessman who targeted his rivals' customers resulting in regular confrontations. Irons was stabbed but his wife and daughter were shot. Sam is reunited with an old friend from Northern Ireland, Det. Supt. Tony Ashton who is the senior investigative officer on the case. Harry assists the police with the death of an old woman who is believed to have fallen down a staircase. His post-mortem reveals evidence that is not consistent with a fall.