Salem Hawley may be a free man after the American Revolution, but his troubles are plenty. A good friend seeks his help, turning Salem's attention to the graves being emptied and the deceased experimented upon and studied by medical students and physicians. It goes ignored, yet Salem is determined to do something, anything. If only he knew about the rituals being performed, the Old Ones being worshiped, right under his nose. If only he knew that New York City is on the cusp of ruin.