Bill Richards wasn’t the type of man to drive aimlessly throughout the city, yet, for the past two hours, he’d been doing just that. Since his doctors had advised him to step away from his company to take care of his health, he had nothing better to do. His once-busy executive schedule was empty; his world had muted. In the quiet of his car, he had ample time to reflect.
His diagnosis: his body was rejecting his soul.
That wasn’t how his doctors would put it, but Bill thought of it that way. Since he was the one who’d suffered from this mystery illness for the past months, he knew better. Even without an MD, he was the goddamn expert, not those quacks.
Angry red blisters marked every inch of his skin. Ulcers branded the commissures of his lips and his mouth, down to his lower esophagus. With each bowel movement, he shed the lining of his gut, the blood and mucus coloring the toilet water an alarming red. Coughing expelled what remained of his rotting lungs.
But the pain, especially. Twisting and torturous, burning and biting. Constant despite the best analgesics his money could buy. Inside him was a battlefield where his flesh struggled to wrench out his spirit.
He’d endured the indignities of countless medical evaluations. The probing fingers and tubes, lab work, and radiographic studies. And so many needles—for sampling his spinal fluid and his liver, lungs, and lymph nodes. His bone marrow, as well. “It’ll only hurt for a second.” the hematologist had promised as Bill lay on his side, his hip, cleansed with an antiseptic, exposed to the personnel crowding the procedure room. But the injected numbing medication burned, and, despite it and the light sedation, he felt everything: from the small skin incision to the long, hollow needle boring through what seemed like miles of subcutaneous tissue into the pelvic bone. Afterward, the awful sound of his own bone crunching reverberated in his nightmares. “Impossible,” the doctor said after Bill complained to the hospital board. “You were asleep and comfortable the entire time.”
Bill had put up with it all, hoping for a diagnosis. For something—anything—to treat. Ideally, to cure.
In the end, the top specialists had ruled out the usual culprits: not autoimmune, hereditary, inflammatory, infectious, or neoplastic. The unusual ones, as well. Even a psychiatrist was consulted. Their unanimous conclusion: Bill was a unique case, his affliction idiopathic.
“Well, doc, something’s wrong,” Bill had said to the palliative care specialist at his appointment earlier that afternoon. It was his final stop: His unidentified ailment had no treatment, let alone a cure. He sat on the exam table, naked but for a thin paper gown, shivering in the cold. His skeletal legs dangled toward the ground. “I’m fifty-six. Until a few months ago, I was fine.” He threw up his hands. “So, what’s going on? Did a witch cast a spell on me? Or is some minor deity out to punish me?”
Bill had been joking, had even chuckled, but the doctor studied him with assessing eyes. “That very well could be, Mr. Richards,” the older man finally answered, his tone somber. “Did you do anything to deserve it?”
What an asshole. Though the doc acted all holier-than-thou, Bill bet he had something to hide. Everyone did. In Bill’s opinion, his success justified his actions—he had nothing to atone for.
He accelerated his Maserati through a series of red lights, onto a desolate stretch of road in some nameless neighborhood, faster, faster as if his life were a terrestrial purgatory he could flee. Bill clung to the necessary illusion that nothing could stop him, touch him, right here, right now.
But his end was coming. His wealth couldn’t save him this time. His generous donations had cleared same-day appointments on packed clinic schedules, but the so-called top physicians proved useless. He bought his way into clinical trials for which he didn’t qualify. And the thousands he spent on let’s‑see-if-this-works treatments did shit. Modern medicine had failed him.
If everything else was for sale, why not an honest-to-god miracle? But costly indulgences had gained him no reprieve. The intercessory prayers on his behalf from the most pious—paid for in cash up-front—yielded no return on his investment. And his lavish offerings to a pantheon of gods, both ancient and modern, had gone completely unheeded.
A swallow set his chest ablaze, his saliva like acid on his ulcers. Bill whimpered. Even the most innocuous foods—whether puréed or not—were a misery to eat. Simply recalling the taste of his favorite meal—a ribeye steak and garlic mashed potatoes—was enough to set off a paroxysm of pain. How long could he live like this? Weeks, months, years? His doctors refused to tell him.
He veered onto a run-down road lined with abandoned strip malls. In the twilight, the complexes, all dingy and shuttered, looked alike, with their corrupted dreams and broken promises, too ruined to be worthy of repair.
The asphalt ended at a road-closed sign without a detour. His impotent howl provoked a cataclysm of coughing. Bill collected the expectorated soft, gray chunks in a tissue he heaved out his window. He fought to refill his ravaged lungs with air. Whatever the origin of this disease, his condition was rapidly declining, a harbinger of his imminent demise.
But Bill wasn’t ready to die. Who would comfort, then mourn him? His ex-wife? The girlfriend who’d just dumped him? The so-called friends who’d ousted him from his own company? No. No one. Damn them all.
As he swung the car back around, he noticed lights in a lone storefront that, just a minute before, had been dark. Atonement Point Holistic Medicine Center, its blinking sign read, beckoning him. How could he have missed it, hope spelled out in neon colors, as if designed solely for him? Bill rushed his car into the deserted parking lot, his tires squealing.
His short walk from his car to the building left him out of breath. His pounding pulse echoed within his skull. Since the start of his illness, once-simple activities of daily life taxed him as if they were the most arduous tasks. Bill leaned against the wall, next to the Walk-Ins Welcome sign to recover. He hated how he’d become a poor imitation of the vital man he’d been.
The aluminum-and-glass door weighed as much as if it were steel-reinforced concrete. Bill wrestled it open just enough to slip inside, his grip on the pull handle traumatizing the painful blisters on his hands. A low chime rang out. The waiting room held a tattered couch and a forlorn row of folding chairs. Its walls were an industrial white, the paint sooty as if it had been flirting with flames.
At the back of the room, a red beaded curtain parted like a sanguineous waterfall. “May I assist you, sir?” A woman in a flowing white dress appeared in the doorway. Silver hair skimmed her shoulders. Her beguiling face was ageless, old and young at the same time.
“I need to see the doctor. Right away. Now.” Bill cleared his throat, raw from his coughing fit. “I’m sick—dying—but no one can figure out why.”
The woman nodded. “Come with me.”
He followed her beyond the curtain, through a long passageway, finally staggering into a cramped, windowless room. “Sit,” she told him, and he dropped onto the chair in front of the desk, too weary to stand. A task lamp provided the only illumination. Atop a four-drawer file cabinet, glass jars crowded around a set of scales. Sharp-scented incense overwhelmed him.
She placed her hand on his forehead.
“Wait.” Bill jerked away from the contact, a lifetime of suspicion overcoming his desperation. He scanned the bare walls for a diploma. She didn’t look like a doctor. Too pretty. “Don’t you want to know my symptoms?”
“No.” The word resounded with disdain. Her midnight eyes pierced him like a well-honed sword.
Bill cringed as if he’d been struck. Would she decline to treat him? To cast him out? “I’ll give you anything. Everything. Just fix me…please.”
“Perhaps.” The woman again laid her palm on him, like an ancient priestess offering a benediction. This time, he didn’t resist. She was his last shot at salvation.
An unnatural cold saturated his body. Bill shook, but her touch was unrelenting. Nausea churned in his belly. He clutched at the sides of the seat, his brittle fingernails breaking against the unyielding metal.
The woman released him, her judgment rendered: “You are beyond redemption.”
“Oh, God. It is my soul, isn’t it.” Bill sobbed, his bowed head in his hands. There would be no miracle cure for him. “How long before…? How long do I have to live?”
A desk drawer glided over its slides. He glanced up. The woman slid a thick folder before him, under the solitary pool of light. On its cover was typed Bill Richards.
He tried to straighten but didn’t have the strength. “What the hell is this? I never said my name.” Sweat broke out on his sloughing skin despite the burning ice scorching through his arteries. Bill was racked with a pain more harrowing than ever before.
“Yet I know you. I marked you for punishment long ago.” Her index finger tapped the cover. “Now your turn has come.” She opened the folder to an old Missing Child flyer with a picture of a smiling girl.
Bill recoiled. He’d tried to forget her. His cousin’s friend. Fourteen, but mature for her age. A blond temptress, despite what others claimed. “What are you talking about? I don’t know that person.”
On the next page, an autopsy photo. The same girl—her vacant green eyes, accusing him. An open torso. An absent heart and lungs. She’d been so fragile; he hadn’t expected it, not until it was too late. Bill leaned over to vomit into a trash can. Blood, just blood. He wiped his mouth against his sleeve. “I swear I’ve never seen her before.”
“Liar.” Her voice seared him with its venom. The death certificate appeared before him. Homicide stamped over and over, the red ink hideous against the white paper.
No, what had happened wasn’t his fault. If the girl hadn’t screamed, if she hadn’t struggled…. He hadn’t meant to harm her. “That had nothing to do with me.” Boils burst out over his skin, oozed with pus. The stench made him gag. For almost four decades, his memories of that night had lain dormant, carefully buried, only to creep unbidden from the shadowed depths of his soul to infect his cells, to poison his every organ. “You did this. You made me ill,” he said, gasping. “How? The doctors found nothing.”
“Your malady is not of your world.” She circled the desk. “But of mine, meant to torment you, then to lure you here, to me.”
“Who—?”
“Nemesis.”
An old god. Shit. The page turned, but Bill could no longer see. Infinite darkness smothered him. From its far reaches, the green-eyed corpse cried out, denouncing him for his crimes.
“Divine retribution is inescapable, Mr. Richards. Balance must be restored.” The woman was close, her hot breath blowing against his ear. “Your soul is forfeit for your unholy transgression. Do you hear her? The child demands justice.”
After all these years, he’d thought he was safe, overlooked by human laws, excused by venal officials. But true vengeance had been delayed, never denied. Nemesis had been waiting.
What came next? Eternal damnation.
He pitched onto the floor while falling to his knees to supplicate. His mouth gaped, but no words came—she’d stolen his sounds. No more time to confess, to repent. He’d lost his chance for atonement.
Her fingers pressed against his chest wall, shattering ribs and burrowing through the intercostal muscles, fascia, and pleura, to deep inside, where a heart still contracted, and lungs expanded.
Bill fought her merciless grip. Was there a supervisor to appeal to? Someone higher up to absolve him? He couldn’t accept this fate, all for a little mistake. An accident, really. He’d been seventeen and stupid, a careless child himself. Don’t blame yourself, his parents had said, and why would he? No one else in town did, and the girl’s family had been paid for their silence. But the flailing of his fists inflamed his every nerve. His body convulsed, impatient to eject his soul.
“Give up,” she urged, “and your suffering will be over.”
A single tear traced the curve of his cheek. He’d gone beyond all options: the usual loopholes, negotiations, and stays. This woman couldn’t be bought; she couldn’t be defeated. No choice but to shape his lips into a “yes, please, make it stop” and spread his arms in surrender.
The woman seized the writhing mass that was his befouled soul, severing it from his failing body.
His heartbeat ceased. His respirations halted.
His body, its burden relieved, stilled.
But she’d lied.
For his malign soul, the agony would never end.
Nemesis wouldn’t allow it.
Maria Wolfe (she/her) lives and writes in northeast Ohio, where she also practiced as a surgical specialist. Her fiction has appeared in The Examined Life Journal, Please See Me, and Coffin Bell as well as the Weird Horror Short Stories anthology.