Includes bibliographical references (pages 333-401) and index.

A real-life Canadian doctor was stalking and murdering women in London's downtrodden Lambeth neighbourhood. Dr. Thomas Neill Cream had been a suspect in the deaths of two women in Canada, and had killed as many as four people in Chicago before he arrived in London in 1891 and began using pills laced with strychnine to kill prostitutes. The Lambeth Poisoner, as he was dubbed in the press, became one of the most prolific serial killers in history. Dean Jobb reveals how bungled investigations, corrupt officials and failed prosecutions allowed Cream to evade detection or freed him to kill, again and again. The first complete account of Dr. Cream's crimes and his many victims explores how the stifling morality and hypocrisy of the Victorian era allowed this monster to poison vulnerable and desperate women, many of whom had turned to him for medical help.