When Miami blood-spatter expert Dexter Morgan is not out solving murders, he's a serial killer out committing them. Dexter's world is shaken when another serial killer commits a riveting series of perfect slayings.

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A rival serial killer, dubbed the Ice Truck Killer by the media, privately contacts Dexter and reveals that he knows his grisly secret. Meanwhile his sister, Debra, is transferred to the homicide section.

While trailing a recently released murderer with plans to kill again, Dexter is gripped by the latest crime of the Ice Truck Killer. A chopped-up prostitute discovered in a pro-hockey ice rink.

Dexter is intrigued when the Ice Truck Killer starts leaving pictures from Dexter's childhood at crime scenes that contain body parts left in horrific tableaux, which are meant to tell Dexter something about his own past.

Debra discovers a victim of the Ice Truck Killer who is still alive, which gives LaGuerta and her homicide detectives their first chance to identify the notorious serial killer. While Dexter works on the case, Rita tells Dexter about a friend of hers whose fiancé disappeared while emigrating from Cuba by way of a coyote. When the fiancé turns up dead, Dexter decides to hunt down the killer.

Dexter arrives at a crime scene to find that one of the victims he had disposed of has mysteriously returned to the scene of the kill. The noose is tightened further when LaGuerta finds a young Cuban boy hiding at the crime scene, there's no way he missed seeing Dexter capture the victim.

The Ice Truck Killer is finally identified, but something about the suspect does not sit right with Dexter, who must also deal with the menacing return of Rita's paroled ex-husband.