When Alex Cross and John Sampson raid a wild sex party complete with drugs, alcohol and underage girls hosted by the esteemed Washington plastic surgeon, Dr. Elijah Creem, they stir up a hornet’s nest that threatens to destroy Alex and everyone he loves. Refusing Creem’s attempted bribe he earns the honor of becoming the powerful and vindictive doctor’s sworn enemy. Alex has bigger problems, though, because two women and a man are found to have died in bizarre circumstances, and it appears that three serial killers are operating at the same time in Washington. One of the victims appears to have given birth, but the newborn is missing, so Alex’s race to find her killer is fueled by his concern for the missing infant. It is soon evident to the reader that two of the killers are Creem and his demented friend, Josh, who are killing for sport and for each other’s entertainment in a "Can you top this" game, but it takes a while for Alex to make the connection. As if the responsibility of catching three serial killers weren’t enough, Alex’s reputation is being sabotaged by a
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