A new horror is stalking New Orleans. He is the "Queen of Hearts" killer, removing the hearts of his young male victims. He is savage. He is unstoppable. And the New Orleans Police commissioner has requested - by name - the aid of Dr. Jessica Coran. But another horror is stalking Jessica. The man known as "The Vampire Killer" has escaped from prison, leaving a trail of blood-drained bodies in his wake. No one knows where he is - but they do know that he's coming for Jessica, the woman that put him behind bars.
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FBI Medical Examiner Dr. Jessica Coran and Inspector Richard Sharp have been enlisted to spearhead the investigation of a series of crucifixion murders - a bizarre rash of ritual killings in London's underground. The madman has left a trail of carnage unequaled in the history of serial crime. But he has also left no clues to his identity, or to his unfathomable motive.