The voice isn't familiar to Abigail. The surgeon doesn't have Hannibal's accent. The words though; they hold that same politeness that Hannibal would use for the simplest conversation, all the way to telling someone he would end their life. He even used the words my boy, calling Malcolm his child like Hannibal calling her his daughter.
"They sound so real." She whispers and squeezes his hand back. She's not giving up; she's just scared. "He knows you. Is he your family?" Family could mean so many things.