Fatal Intent

“ Medical suspense as sharp as it gets. Euliano is off to a good, no, a brilliant start.”
— Kathy Reichs, New York Times best-selling author

End-of-life care— or assisted death

When her elderly patients start dying at home days after minor surgery, anesthesiologist Dr. Kate Downey wants to know why. The surgeon, not so much. “ Old people die, that' s what they do,” is his response. When Kate presses, surgeon Charles Ricken places the blame squarely on her shoulders. Kate is currently on probation, and the chief of staff sides with the surgeon, leaving Kate to prove her innocence and save her own career. With her husband in a prolonged coma, it' s all she has left.

Aided by her eccentric Great Aunt Irm, a precocious medical student, and the lawyer son of a victim, Kate launches her own unorthodox investigation of these unexpected deaths. As she comes closer to exposing the culprit' s identity, she faces professional intimidation, threats to her life, a home invasion, and, tragically, the suspicious death of someone close to her. The stakes escalate to the breaking point when Kate, under violent duress, is forced to choose which of her loved ones to save— and which must be sacrificed.

Perfect for fans of Kathy Reichs and Tess Gerritsen

While the books in the Kate Downey Medical Mystery Series stand on their own and can be read in any order, the publication sequence is:

Fatal Intent
Misfire (coming January 2023)


Genre: Mystery

"Tense and fulfilling, there’s plenty of sizzle and emotional clout in this stirring debut. And, even better, it’s all written by someone who knows what she’s talking about. A wonderful beginning and I’m looking forward to more." - Steve Berry

"This is terrific—delicious suspense, done-that authenticity, and a great main character in Dr. Kate Downey . . . We want to see more of her." - Lee Child

"Fatal Intent rings with thrilling authenticity. Tammy Euliano writes with convincing authority, immersing us in a world only a doctor truly knows." - Tess Gerritsen

"[Fatal Intent has] an intriguing plot with wonderful twists and turns and all kinds of dangers—devious and frightening! A wonderful debut for this talented author!" - Heather Graham

"Medical suspense as sharp as it gets. Euliano is off to a good, no, a brilliant start." - Kathy Reichs

"Heartbreaking and searingly realistic, this terrific debut will have you turning the pages as fast as you can. Only a true medical insider like Tammy Euliano could concoct this riveting and authentic look inside the medical community’s life and death decision-making process—and the fragile patients whose lives are tragically changed. A tale of high stakes and shocking manipulations, the tension will keep you holding your breath until the very last page." - Hank Phillippi Ryan