A conclusion to the best-selling trilogy that also includes the Edgar Award-winning Mr. Mercedes and Finders Keepers finds mental patient Brady Hartsfield manifesting powers to commit deadly acts without leaving his hospital room, while retired detective Bill Hodges and his partner investigate a suicide with ties to the Mercedes Massacre.

When Finley Montgomery's psychic ability lands her in the middle of an investigation involving a little girl's disappearance, she seeks help from her grandmother to control her gift.

Her husband dead and he son in hiding, rogue FBI agent Jane Hawk finds a connection between a schoolteacher's murderous, and ultimately suicidal, rampage; teacher's secret journal; and a cabal of power players bent on controlling America.