Twenty years after Ebenezer Scrooge kept his first true Christmas, Tiny Tim is Dr. Timothy Cratchit, a tired young surgeon in the fever wards of St Giles, with a letter in his pocket he has told no one about. On Christmas Eve, 1863, the old man who saved his life is dying, a girl of seven is crying for her mother, and somewhere above the snowbound rooftops a chain is dragging across the slates. One debt was never paid. Before Christmas dawn, someone with living hands must pay it.

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Twenty years after Ebenezer Scrooge kept his first true Christmas, Tiny Tim is Dr. Timothy Cratchit, a tired young surgeon in the fever wards of St Giles, with a letter in his pocket he has told no one about. On Christmas Eve, 1863, the old man who saved his life is dying, a girl of seven is crying for her mother, and somewhere above the snowbound rooftops a chain is dragging across the slates. One debt was never paid. Before Christmas dawn, someone with living hands must pay it.