As the Black Death drowns medieval Europe in blood and fear, two orphaned heirs are on the run with plague-scarred performers while behind them stalks an immortal flesh-eater.

In plague-ravaged fourteenth-century Europe, Elizabeth Malatesta, a sentient flesh-eater and queen of a growing cult, seeks the blood of her last living kin to halt her decay. The children, Maddalena and Bartolome, flee with a troupe of troubadours.

When the Pope in Avignon posts a fortune for the siblings, survival tempts betrayal. Hounded across France and Italy by a hunger older than the plague, Maddalena and Bartolome race for sanctuary.

Race With the Black Death continues the terror begun in Mask of Death.