She saw a murder. Now the ghost won't let her forget-and the killer won't let her live.

Philadelphia, 1841. Seventeen-year-old Annis Hargrave is running from a nightmare. She and her brother have fled New York, burdened by secrets, grief, and the cursed blue pearl that may have brought death in its wake. But the past refuses to stay buried.

Offered work as a medical illustrator by the enigmatic Dr. Thomas Mütter, Annis enters a world of surgical marvels and grotesque beauty. There, amid bottled organs and broken bodies, she begins to rebuild her shattered life-until the ghost of the girl she couldn't save begins to appear. And the man who killed her isn't far behind.

As bodies begin to fall and her brother is taken, Annis must descend into the eerie depths of Mütter's surgical amphitheater-The Pit-for a final confrontation with the monster who haunts her...

Darkly atmospheric and emotionally gripping, Needle and Bone is a gothic tale of guilt, vengeance, and a girl's fight to reclaim her soul from the shadows.