Sexual encounters with underage girls lead to the arrest of the well-known plastic surgeon Elijah Krim by detective Alex Cross. Krim's life is destroyed, and now that he is out of prison, he acquires a new face so that no one can recognize him.

A young woman is found hanging from the window of the sixth floor of a building. She has recently given birth, but her baby has disappeared. At the same time, the police discover the body of a gay prostitute, and rumors that there are three serial killers roaming free in Washington spread panic in the city...

The only person who can stop the killers is Alex Cross. But as he is engrossed in the investigations and the problems he faces in his family, he does not realize that someone is closely watching him. And this someone will not stop until Alex becomes the next corpse on his list.