What the Dead Know: Learning About Life as a New York City Death Investigator

A “remarkably candid and sensitive” (The Wall Street Journal) true crime memoir from Barbara Butcher, a trailblazing New York City death investigator, who reveals the untold stories behind more than 5,500 death scenes, including the nation’s most horrific tragedy: the 9/11 attacks.

When Barbara Butcher was early in her recovery from alcoholism, she found an unexpected lifeline in a job at the Office of the Chief Medical Examiner in NYC. As only the second woman ever hired for the role—and the first to last more than three months—she became a vital force in the world of forensic science and criminal investigations.

Over the next two decades, Butcher worked thousands of cases: gruesome homicides, suspicious suicides, heartbreaking scenes involving underage victims, and complex mass casualty investigations. In her unforgettable account, she invites readers into the gritty, high-stakes world of crime-scene investigation, from the autopsy room and morgue to tense moments at active crime scenes. Along the way, she uncovered how confronting death every day gave her a new perspective on life—and ultimately saved her from becoming a statistic herself.

In vivid, darkly humorous prose, Butcher recounts how she narrowly avoided a boobytrapped suicide scene, and how, during 9/11, she and her colleagues worked tirelessly to identify victims using scraps of clothing, DNA, and the memories of grieving loved ones. Her honesty, resilience, and sharp wit make this a standout in the genre of first responder memoirs and women in law enforcement.

“Breathtakingly honest, compassionate, and raw” (Patricia Cornwell) and “completely unputdownable” (Adriana Trigiani), What the Dead Know is a powerful, insider’s look at the world of death and the lessons it teaches us about how to live. Fans of forensic memoirs, cold case investigations, true crime, Kathy Reichs, Patricia Cornwell, and TV series like CSI or Mindhunter won’t be able to put this down.

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Published Jun 20, 2023

288 pages

Average rating: 8.23

77 RATINGS

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Community Reviews

Midnight.rain
Mar 10, 2026
7/10 stars
I loved learning about her life and how much she’s faced and overcame in her life. I do wish the stories from her job had been more in depth.
Khris Sellin
Jul 05, 2024
10/10 stars
If I could have a do-over, I'd be an MLI (medicolegal investigator) like Barbara Fucking Butcher! Butcher was struggling both personally and careerwise when she learned about the job of the MLI working for the OCME (Office of Chief Medical Examiner) in NYC. In her own words, it was the best thing that ever happened to her. Part memoir, part history of the different cases she worked on, and totally absorbing.
Juliette Reads A Lot
Apr 27, 2025
7/10 stars
Barbara Butcher shares her experience as a New York City Death Investigator, showing us how the system actually works. She talks about how she struggled with alcoholism, and how it led her to this job. Overall a well-written and interesting read. She talks about several of her cases, and shares what she learned about the dead, but also about the living and life in general.
bmarieharper
Dec 04, 2023
9/10 stars
I loved this. The author is so intelligent, experienced, and passionate about her work. Her honesty with her struggles with addiction and mental health are admiring and familiar.

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