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It’s a difficult time for William Dougal. He’s given up smoking and, to make matters worse, a touch of blackmail persuades him into doing a job for his old adversary James Hanbury. Nothing complicated - all he has to do is keep an eye on Dr Vertag, the leader of a lunatic fringe survival group. But he has hardly started when the barman who tried to warn him off is murdered. Suddenly Zelda appears from Dougal’s murky past. Zelda is big, black and very beautiful. And just as suddenly she is kidnapped from his flat.

A photographer descends into New York City’s chaotic and brutal underground in this sweeping story of the Big Apple at its seediest. It’s 1982, and Clarence Dmitri Larkin is working as a photographer at Bellevue hospital in Manhattan. The job offers a painfully clear perspective on a city sick with madness, fraught with crime, and coming apart at the seams. Larkin’s curiosity soon leads to a subterranean world of all the city’s secret dangers, including domestic terrorists with a nuclear device, a serial killer inspired by an occult past, and a disfigured arsonist who just might be the one to burn the whole city down.