Hazel Sinnett is a lady who wants to be a surgeon more than she wants to marry. Jack Currer is a resurrection man who's just trying to survive in a city where it's too easy to die. When the two of them have a chance encounter outside the Edinburgh Anatomist's Society, Hazel thinks nothing of it at first. But after she gets kicked out of renowned surgeon Dr. Beecham's lectures for being the wrong gender, she realizes that her new acquaintance might be more helpful than she first thought. Because Hazel has made a deal with Dr. Beecham: if she can pass the medical examination on her own, Beecham will allow her to continue her medical career. Without official lessons, though, Hazel will need more than just her books--she'll need corpses to study. Lucky that she's made the acquaintance of someone who digs them up for a living. But Jack has his own problems: strange men have been seen skulking around cemeteries, his friends are disappearing off the streets, and the dreaded Roman Fever, which wiped out thousands a few years ago, is back with a vengeance. Nobody important cares--until Hazel. Now, Hazel and Jack must work together to uncover the secrets buried not just in unmarked graves, but in the very heart of Edinburgh society.

Hazel Sinnett is alone and half-convinced the events of the year before—the immortality, Beecham’s vial—were a figment of her imagination. She doesn’t even know if Jack is alive or dead. All she can really do now is treat patients and maintain Hawthornden Castle as it starts to decay around her. When saving a life leads to her arrest, Hazel seems doomed to rot in prison until a message intervenes: Hazel has been specifically requested to be the personal physician of Princess Charlotte, the sickly granddaughter of King George IV. Soon Hazel is dragged into the glamor and romance of a court where everyone has something to hide, especially the enigmatic, brilliant members of a social club known as the Companions to the Death. As Hazel’s work entangles her more and more with the British court, she realizes that her own future as a surgeon isn't the only thing at stake for her. Malicious forces are at work in the monarchy, and Hazel may be the only one capable of setting things right.