The title comes from Revelations 6:8, which in the King James Version says, "And I looked, and behold a pale horse: and his name that sat on him was Death, and Hell followed with him."

Hook is that each section starts with "His name was" or "Her name was." The book begins, "Her name was Joyce Dugan, and at four o'clock on this February afternoon she had no remote thought that within the hour before closing time she was about to commit an act that would instigate a chain of murders." The last section, just a couple of pages long, begins, "His name was Death, and he waited for ____."

After Dugan, the focus moves around a few other people, primarily her boss, Darius Conn, who runs a print shop. The year before he'd killed his wife and gotten away with it, and now he's feeling bold and very confident. He's got a plan, and no-one's going to get in his way.

Fredric Brown was an American science fiction and mystery writer. He was one of the boldest early writers in genre fiction in his use of narrative experimentation. While never in the front rank of popularity in his lifetime, Brown has developed a considerable cult following in the almost half century since he last wrote. His works have been periodically reprinted and he has a worldwide fan base, most notably in the U.S. and Europe, and especially in France, where there have been several recent movie adaptations of his work. He also remains popular in Japan.

Never financially secure, Brown - like many other pulp writers - often wrote at a furious pace in order to pay bills. This accounts, at least in part, for the uneven quality of his work. A newspaperman by profession, Brown was only able to devote 14 years of his life as a full-time fiction writer. Brown was also a heavy drinker, and this at times doubtless affected his productivity. A cultured man and omnivorous reader whose interests ranged far beyond those of most pulp writers, Brown had a lifelong interest in the flute, chess, poker, and the works of Lewis Carroll. Brown married twice and was the father of two sons.