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In this chilling, seamlessly-plotted thriller, British detective Jack Caffery must find a dangerous mental patient on the loose—before he can kill again . . . The Beechway High Secure Unit in Bristol, England, has a storied past—first as a nineteenth-century workhouse, then a poorhouse for the homeless, and now as a psychiatric hospital. With that troubled history come superstitions like the Maude, believed to be the ghost of a sadistic workhouse matron. But while some of the patients and staff think the Maude is behind a series of unexplained episodes of self-harm amongst the ward’s patients, nursing coordinator AJ LeGrande thinks they might be the work of an all too human horror—a homicidal patient who was released back into the public in error. Calling on Det. Jack Caffery, LeGrande hopes his investigation will reveal what’s truly been going on inside and outside the hospital’s walls. But what Caffery discovers about former patient Isaac Handel is beyond anyone’s imagining.