Destruction follows the ruthless serial killer, Jeremy Rose, the Bayou Butcher, as he heads north to evade capture for his horrific crimes. As he seeks safe harbor with a former friend, he remains focused on unfinished business with forensic pathologist Dr. Wren Muller, the only target who's ever escaped him-twice. But not this time. He's determined to make Wren suffer, and he's promised to make her play by his own twisted rules.

Still in shock over the harrowing encounter with her old nemesis, Wren is on forced medical leave in New Orleans, attempting to mend the deep scars of her traumatic past. But with growing evidence that Jeremy is leaving a fresh trail of mutilated victims across Massachusetts, Wren realizes the best way to heal is to renew her pursuit of this vicious killer. She sets her sights on Jeremy, only to discover that she may have walked directly into his trap. As their twisted cat-and-mouse game rachets up to a violent clash of good versus evil, Wren prepares to sacrifice everything to bring Jeremy to justice.

With intense true-to-life details from autopsy technician and Morbid podcast cohost, Alaina Urquhart, The Butcher Game is a gripping addition to the New York Times bestselling Dr. Wren Muller series.