If you continue reading, you will be exposed to spoilers about the above book. Proceed with caution.
It was Lucy who swapped the babies. She knew her husband was a monster and was trying to protect her son. It was also Lucy who turned over the video that ultimately gave Peter and Maddie custody of Theo.
It was Maddie who killed Miles. After she figured out that Lucy was the one behind the baby-swap, she knew the only way they would all be free would be for him to die. She also suspects that she is on the psychopath spectrum. So she did it.
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