Dexter Morgan is busy planning his wedding to Rita to complete his nice-guy disguise. But when a student is found burnt, molested, and headless - seemingly sacrificed to an ancient god - and Dex is brought in as forensic analyst to help investigate, he realises he could be dealing with someone a whole lot more sinister than he is.

Soon it seems the dark passenger in Dexter's head has gone into hiding. And when something creeps out your friendly neighbourhood serial killer, you know it's serious....

As Halpern and Dexter are stalked by death, it looks like it's getting personal - especially as Dex now has a family to protect. Gradually Dexter realises his stepchildren might share his extracurricular interest in death. Could he help them target their bloodlust just as he steers his own? But to do that, Dex must cope with a certain mutilated sergeant from his past and, more importantly...stay alive....

Narrated by the author.