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Boston medical examiner Dr. Maura Isles faces a chilling reality when a murder investigation reveals a shocking connection to her own life. As a pathologist accustomed to dealing with death, Maura is unprepared for the discovery that the lifeless body on her table is a mirror image of herself. The victim, found shot outside her home, shares not only Maura's appearance but also her birth date and blood type. This unsettling revelation leads to the confirmation that the deceased is her twin sister, thrusting Maura into a dark and twisted investigation filled with personal secrets. Determined to uncover the truth, Maura travels to a seaside town in Maine, where she encounters further horrors. Meanwhile, an unknown serial killer is on the loose, escalating the urgency of her quest. To unravel the mystery of her family’s past and stop the ongoing killings, Maura must confront her estranged mother—a cold and manipulative figure who may hold the key to both her origins and her survival. As the investigation deepens, the stakes rise, forcing Maura to confront not only the external threat of a murderer but also the chilling truths about her own identity and lineage.