Detective Jane Rizzoli and medical examiner Maura Isles investigate the grisly murder of a wealthy couple. The M.O. matches the work of a serial killer known as the Surgeon, who once nearly murdered Jane. Now that the Surgeon is behind bars, it seems one of his proteges is picking up where he left off.

Jane werd ooit ontvoerd en bijna vermoord door de gevangengenomen seriemoordenaar Charles Hoyt. Nu heeft een lichaam gevonden in een park alle aanwijzingen dat het zijn werk is. Jane moet haar best doen om haar angst voor deze man in bedwang te houden, terwijl Maura probeert in de geest van de moordenaar te kruipen.

When a warehouse fire kills a firefighter, Jane and Maura must investigate whether it was arson or an accident. But the investigation hits a snag when a hit-and-run leaves someone in the hospital. Guest star Billy Burke returns as FBI Agent Gabriel Dean, who hopes to rekindle his relationship with Jane. And guest star Jacqueline Bissett reprises her role as Maura’s mother, Constance Isles.

Jane and Maura’s friendship suffers following the shooting of Maura’s biological father, gangster Paddy Doyle. Jane also finds herself in the middle of an Internal Affairs investigation. And her relationship with Agent Dean is exposed.