Summary:This is based on The Dark Knight, Joker. This takes place after Dark Knight, the Joker finally goes to Arkham and meets his attending doctor, Dr. Karen Miller. Little does Karen realize just how much trouble she will be getting herself into. Warning: This fic is going to feature domination, possibly nonconsentual sex and lots of perversion.

Disclaimer:I only own the hospital staff. None of the patients.

Feedback: Hey ya'll let me know how I am doing please.

The unfinished building was lit with the red and blue flashing lights as a swat team stormed the building to collect Joker and his minions. Joker hung upside down from one of the rafters, laughing that psychotic laugh as if hearing a joke that only he could hear. The Swat team radioed down to command.

"We have The Joker in our sites. We're taking him into custody."

"Copy that"

Pulling him in from the rafter he was dangling madly from, they cut the wire from his ankle and quickly cuffed him.

"Suspect in custody."

They hulled him down to a large white van with red letters on the side that clearly read:

ARKHAM INSANE ASYLUM

In bold letters underneath it read:

Warning: Transport for the criminally insane.

The team led him to the back of the van where the open doors revealed the entire inside of the vehicle to be padded and a hospital bed with restraints lay unoccupied in the rear of the van. Standing just outside of it was a woman of twenty eight her long brown locks pulled tightly back into a bun, a clipboard held tightly against her chest as if trying to shield herself from the patient she did not look forward to treating. A twinkle of fear flickered in jade green pools as she scanned over him momentarily before nodding at the swat members holding him so they would strap him down to the bed. A shudder passed through Karen as she watched him watching her, a sort of cold chill as if getting in the van with this man-if you could call him that-would be the last thing ever she would get to do. As they were strapping him down, she looked up past the van and the squad cars, towards the horizon to see the red light of the sunrise peaking up over the horizon. A thought occurred to her as she watched the red get brighter. 'How appropriate, if the stories are true then I'll be headed to my death.'

"Alright boys I'll take it from here."

There was that almost sarcastic grin on his face as if he was laughing at her the entire time but she just didn't know what was funny. Although it was the last place she wanted to be she knew that it was regulation for her to ride with the patient in the back seat, she was not looking forward to it. Especially with what happened with Scarecrow, she shuddered to think about it again. Stepping into the back she heard those doors close behind her and she felt her stomach knot with fear but she didn't let him see it. Joker looked at her licking his bottom lip as he always did, seeming to be studying her as much as she was studying him. Before Karen had a chance to ask him anything, there came a smacking sound it was his lips and then he spoke.

"Dr. Karen Miller…Tell me Karen," he said in that almost sarcastic voice, looking up at her with that almost frown on his face as he spoke. "Do you like your job? I mean does dealing with the crazies drive you mad?"

He almost laughed at that last question grinning at her as he pushed her already shaky nerves just a little bit further. She replied almost smug when she spoke.

"Tell me Joker do you believe everyone finds your games amusing?"

The grin faded from his face and Karen felt a chill creep its way into her heart. A part of her knew that this patient would be trouble, more trouble than she could possibly handle and something about the look in his eyes at that moment scared her. But she was a doctor still and it was her job to try and find out the patients symptoms. From somewhere deep within herself she was summoning strength in order to keep her appearance professional and calm.

"Right then, what is your full name?"

The frown on his face seemed to get worse as she posed her question. Joker smacked his lips together in that unconscious gesture he often did when unhappy with a situation-the simple gesture that made Karen want to shudder-one name left his lips.

"Joker…"

He gave her one name in that deep tone he knew would break her composure if even a little bit. Karen shivered feeling just that little bit of strength she had to keep from jumping out of the van-starting to break. But she refused to let him see it, she jotted down the name on the top of the file.

"Do you see things, hear voices or experience any sort of hallucinations?"

There was no answer he just stared at her smacking his lips with a blank expression on his face. A grin crossed his features and then he spoke, his tone almost a laugh.

"Tell me doctor what do you feel right now? Fear? Are you terrified of me yet? If not, I hope you stick around for a while because I could show you some things that will really give you nightmares."

Then he laughed that psychotic cackling laugh that sent chills all the way up her spine and made her want to crawl deep down somewhere inside of herself just to hide. With a violent fury she started pounding on the mesh window that separated the driver from the rear of the van.

"Richard stop the van! Stop the van!"

With a violent screech the van came to a halt, Karen struggled for the rear door, but what she hadn't noticed was that Joker had been messing with the straps and just now slipped them. Before Richard could open the doors the hospital gurney was kicked in front of them, stopping the latch from turning. She felt a tug on her hair and then she heard his voice full of a sadistic playfulness that made her stomach knot.

"Where ya going huh? Think 'Richard' is going to help you? Oh Doctor Miller," he said in an almost singsong voice, "Do you wanna know how I got these scars?"

In the back of her mind Karen was praying to get away from him alive. She shouted for help.

"Richard! Please hurry! God please hurry!"

A leather gloved hand pressed hard over her mouth and a hand yanked back on her hair hard, sending tendrils of pain shooting down her neck.

"Shut up," his voice a deep growl in her ear before he flipped her over and pinned her arms to the floor," I was a Doctor once in an insane asylum like you are now. I was good at my job, until one day we get this patient who was lack of a better word crazy. He was charged with cutting a permanent smile into victim's faces and one day he just happens to escape from his cell. And he went to find me, when he does, he takes a scalpel and cuts into the sides of my face. Doing this."

Karen struggled to look away from him, but he grabbed her by her hair, pinning her wrist with his knee.

"Look at me…" Letting go of her hair he reached in his pocket and pulled out his switch blade.

There is a pounding on the doors as Richard tries to wiggle the latch free from the metal pressing it down. All she can do is look up at Joker in horror, praying in the back of her mind that her driver gets the door open before he gets the first cut even started.

"How? They took that from you."

You take your job way to seriously, you really ought to smile more Karen."

Holding his switch blade in one hand he leans into her ear to speak, she can smell his scent, and feel the heat of his body against hers. The logical part of her mind that is supposed to tell her he is a patient and he is severely psychotic will not switch on at this point. There was something about the fear that was starting to create issues that she knew as a doctor, no, a logical person, she should not be having these issues. But it was there, faint, but an ache none the less in an area that should be the last part of her body responding to the situation. Then she heard his voice deep in her ear, an almost inhuman growl escaping his lips in words.

"Don't struggle, or this might hurt."

There was a sharp pain in her wrists as he knelt on her arms, holding them down at her sides before she felt those leather gloves against her soft pale skin, just under the top of her skirt, reaching for something. Then she realized what he was doing, he was looking for the thin straps that kept her underwear on her small curvy frame.

"Richard! For god sakes please hurry! Hel-", her breath caught in her throat as she could feel the broken strap loose on her hip. Karen tried to wiggle out from under him, grabbing her by her hair he yanked her around to press the knife to her throat.

"Fiesty…I like that…tell me doctor do you think he will get to you in time. Or will it be too late.

His voice so throaty at this point she could feel it rumble through her entire body and as much as she tried to fight it, she shivered and she knew he could feel it.

"Let go of me!"

Finally she jabbed an elbow back into his ribs, but as she managed to escape she got a small cut along the edge of her neck. She managed to toss the gurney back before he grabbed her by her leg and attempted to drag her back but she kicked him hard in the jaw. Richard yanked the doors open, pulled Karen out and hit Joker with a tranquilizer dart before he can even crawl to the door.

"Are you ok? What did he do to you?"

Too mad at herself for responding the way she did to him, so she did what anyone would do, she lied.

"No, I'm fine. Get his knife and get him strapped down to that gurney tight this time."

With that said, she headed for the front of the van, climbing safely into the passenger seat she sighed, relieved, terrified and much to her disgust, turned on. She shuddered to think about what had just happened. Suddenly remembering her cut strap, she reached in the top of her skirt and pulled out the two ends, just looking at them made her heartbeat kick up again. There was nothing to keep the two ends together, she would have to get another pair later, for now she was just glad that she was away from him for now.

Richard climbed back into the van and started the engine heading finally for Arkham.