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Rome, 1948. Twenty women are brutally murdered, their throats slit and their encounters removed with surgical precision. Then the murders stop as abruptly as they started out, and the horrifying offences and their patients are lost to history. Now over 60 years later, the killings have begun again. This time around in America. It's up to homicide detectives Marcus Carter and Angela Darden to avoid the murders, but how can they capture a serial killer who leaves no traces of evidence and no apparent motive other than the thirst for murder? Really the only cryptic clue they need to go on is the three letters "MAI" the killer carves into the flesh of his patients.