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One year after The Alienist, with Sara Howard, now a private detective, seeking out Dr Kreizler’s help in finding the kidnapped infant daughter of a visiting Spanish dignitary. Dr Kreizler reunites with Sara, John Moore and the rest of the original team, with their search for the missing child bringing them into contact with a mysterious woman with a murderous past who is connected to a notorious gang.
Sara uncovers a clue at the Siegal Cooper Department Store that leads her into dangerous territory; Moore struggles to balance his personal and professional life as he investigates a link to New York’s criminal underworld; and Kreitzler suspects dark goings-on at the Lying-In Hospital, while former Police Chief Thomas Byrnes plots against their investigations.
Sara persuades a young nurse to disclose what happens behind closed doors. Meanwhile, Kreizler is convinced that hypnosis might unlock the traumatic memories of Señora Linares, and Moore introduces Sara to a well-connected friend to further the investigation.