Pathologist Toni Day is faced with a situation most pathologists only joke about. Beulah Pritchard comes back to life on her autopsy table. Beulah was a coworker of Toni's at Cascade Perrine Regional Medical Center, where she was known as a merciless gossip, happiest to attack female doctors with slander and lies.
Beulah drove her car off a snow-covered road with her husband's dead body in the trunk. Although Beulah survived her injuries and hypothermia, she died, only to come alive on Toni's table-and die again. Beulah's estranged sister threatens to sue both Toni and the hospital for wrongful death, but it's soon apparent both Beulah and her husband were murdered.
To save her career and the hospital, Toni investigates the mysterious deaths of Mr. and Mrs. Pritchard. Her inquiries uncover a decades-old scheme of embezzlement, blackmail, and more. Soon, someone is on Toni's tail: the killer, desperate to stop the curious pathologist from uncovering the truth. In order to stay alive, Toni must confront a vicious and clever murderer who will do anything to keep the past under wraps.