The story begins with the first of several dialogues between the protagonist, Tory Troy, and her psychiatrist, Dr. Bexley, hired by the court system to evaluate her competence to stand trial. She has been accused of murdering six coworkers at an animal shelter, where she was a euthanasia technician. The plot continues through a series of dialogues, including those between Bexley and each of Troy's parents, Bexley and the defense attorney, Troy and a priest, jury members among themselves, Troy and a psychiatric nurse whom she befriends, and two corrections officers inspecting pancuronium bromide and other chemicals held in stock for lethal injection. By means of these dialogues, Spignesi quickly engrosses the reader. He leaves one grappling with confounding intertwined uncertainties ensuing toward a climax that possesses a quality of legerdemain, a literary trompe l'oeil. Of course, I may not divulge the conclusion. I can, however, guarantee that, until the final 15 pages have been read, the reader will be altogether unable to discern the outcome.