Like all pathologists, Cuthbert finds dealing with dead children the hardest part of his job. However, when the body of a young boy is found in the grounds of a church orphanage, Cuthbert not only has to steel himself for the task ahead, he is also forced to revisit his own childhood grief. The boy in his shallow grave has been interred with some ritual, but just how did he die? And why was he killed? Working closely with his assistant and the team at Scotland Yard, Cuthbert slowly and painstakingly reveals the terrible truth.