Marginally 4 stars. Another Kathy Reichs standard forensics book. Not really any anthropology since all the dead are recent. Pretty much nothing more than a medical examiner treatise. For me, the saving grace in this book was the banter between characters and the absence of Harry and Anne. In this book, the ending was a question mark for me until nearly the end. I started the series, my wife has all the Tempe books, so I will finish reading them. There are certainly many worse mystery/thrillers out there.